Related Experiment Video

Updated: Aug 9, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

[Appropriateness of emergency hospital admissions]

J Ochoa-Gómez1, A Villar Arias, E Ramalle-Gómara

  • 1Servicio de Urgencias del Hospital San Millán de Logroño, C/Autonomía 3, 26004 Logroño, La Rioja. jochoa@nacom.es

Anales De Medicina Interna (Madrid, Spain : 1984)
|November 8, 2002
PubMed

Insights

A study found that only 4.5% of urgent hospital admissions were inappropriate. Medical specialists, unlike emergency physicians, had a higher risk of making inappropriate admissions.

Area of Science:

  • Internal Medicine
  • Hospital Administration

Context:

  • Urgent hospital admissions require careful evaluation to ensure patient care efficiency.
  • Assessing the appropriateness of admissions is crucial for resource management and quality of care.

Purpose:

  • To determine the proportion of inappropriate urgent admissions in a general hospital setting.
  • To identify factors associated with inappropriate urgent admissions.

Summary:

  • A retrospective study analyzed 1,999 urgent admissions using the Appropriateness Evaluation Protocol (AEP).
  • Eighteen admissions (4.5%) were deemed inappropriate.
  • Inappropriate admissions were significantly more likely when ordered by medical specialists (internal medicine, hematology, nephrology) compared to emergency physicians (OR 5.3, p < 0.03).

Impact:

  • Highlights the need for improved admission protocols for medical specialists.
  • Suggests potential areas for quality improvement initiatives in hospital admission processes.
  • Provides data on the rate and predictors of inappropriate urgent admissions.
Abstract

More Related Videos

Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure04:05

Clinical Application of Phase Angle and BIVA Z-Score Analyses in Patients Admitted to an Emergency Department with Acute Heart Failure

Published on: June 30, 2023

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure05:16

Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

Related Concept Videos

Hospitals-I01:28

Hospitals-I

Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
Hospitals-II00:59

Hospitals-II

Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in hospitals have...
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
Types of Reports III: Telephone and Verbal Reports01:26

Types of Reports III: Telephone and Verbal Reports

Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...