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- Scopus: eid_2-s2.0-49449117202
- PMID: 18685159
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Article: Who should be admitted to hospital? Evaluation of a screening tool
Title | Who should be admitted to hospital? Evaluation of a screening tool |
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Authors | |
Keywords | Patient selection Reproducibility of results Health services misuse Hospitalization Patient admission |
Issue Date | 2008 |
Citation | Hong Kong Medical Journal, 2008, v. 14, n. 4, p. 273-277 How to Cite? |
Abstract | Objective: To develop a tool for evaluating the appropriateness of acute hospital admissions in Hong Kong and test its reliability. Design: The tool was based on the Appropriateness Evaluation Protocol and consensus of local Emergency Medicine specialists. Reliability was tested through retrospective chart review. Setting: Tertiary teaching hospital, Hong Kong. Patients: Seventy-five randomly selected patients, who were admitted to the specialty of Internal Medicine or General Surgery via the Accident and Emergency Department in 2006, were reviewed. Main outcome measures: The intra-rater and inter-rater agreement on appropriateness of an admission. Results: A 19-criterion protocol for assessing the appropriateness of acute hospitalisations was constructed. The kappa coefficient for intra-rater agreement was 0.73 (95% confidence interval, 0.58-0.88) and that for inter-rater agreement was 0.67 (95% confidence interval, 0.51-0.83). Conclusion: The new protocol was shown to have substantial reliability for evaluating whether an acute hospital admission was appropriate. The findings in this study provide a basis for testing the validity of the new protocol as well as determining the extent of inappropriate acute hospital admissions in Hong Kong. |
Persistent Identifier | http://hdl.handle.net/10722/209450 |
ISSN | 2023 Impact Factor: 3.1 2023 SCImago Journal Rankings: 0.261 |
DC Field | Value | Language |
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dc.contributor.author | Leung, LP | - |
dc.contributor.author | Fan, K.L. | - |
dc.date.accessioned | 2015-04-21T07:49:21Z | - |
dc.date.available | 2015-04-21T07:49:21Z | - |
dc.date.issued | 2008 | - |
dc.identifier.citation | Hong Kong Medical Journal, 2008, v. 14, n. 4, p. 273-277 | - |
dc.identifier.issn | 1024-2708 | - |
dc.identifier.uri | http://hdl.handle.net/10722/209450 | - |
dc.description.abstract | Objective: To develop a tool for evaluating the appropriateness of acute hospital admissions in Hong Kong and test its reliability. Design: The tool was based on the Appropriateness Evaluation Protocol and consensus of local Emergency Medicine specialists. Reliability was tested through retrospective chart review. Setting: Tertiary teaching hospital, Hong Kong. Patients: Seventy-five randomly selected patients, who were admitted to the specialty of Internal Medicine or General Surgery via the Accident and Emergency Department in 2006, were reviewed. Main outcome measures: The intra-rater and inter-rater agreement on appropriateness of an admission. Results: A 19-criterion protocol for assessing the appropriateness of acute hospitalisations was constructed. The kappa coefficient for intra-rater agreement was 0.73 (95% confidence interval, 0.58-0.88) and that for inter-rater agreement was 0.67 (95% confidence interval, 0.51-0.83). Conclusion: The new protocol was shown to have substantial reliability for evaluating whether an acute hospital admission was appropriate. The findings in this study provide a basis for testing the validity of the new protocol as well as determining the extent of inappropriate acute hospital admissions in Hong Kong. | - |
dc.language | eng | - |
dc.relation.ispartof | Hong Kong Medical Journal | - |
dc.subject | Patient selection | - |
dc.subject | Reproducibility of results | - |
dc.subject | Health services misuse | - |
dc.subject | Hospitalization | - |
dc.subject | Patient admission | - |
dc.title | Who should be admitted to hospital? Evaluation of a screening tool | - |
dc.type | Article | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.pmid | 18685159 | - |
dc.identifier.scopus | eid_2-s2.0-49449117202 | - |
dc.identifier.volume | 14 | - |
dc.identifier.issue | 4 | - |
dc.identifier.spage | 273 | - |
dc.identifier.epage | 277 | - |
dc.identifier.issnl | 1024-2708 | - |