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The Availability Heuristic01:08

The Availability Heuristic

A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):

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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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Published on: November 15, 2013

[Not Available].

Andreu Prat1, María J Bertrán, Manel Santiñà

  • 1Unitat d'Avaluació Suport i Prevenció (UASP). Hospital Clínic. Barcelona. España; Departament de Salut Pública. Facultat de Medicina. Universitat de Barcelona. Barcelona. España.

Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial
|October 9, 2012
PubMed
Summary
This summary is machine-generated.

A new clinical management model showed acceptable rates of inappropriate hospital admissions and stays. Medical patients, especially those with multiple chronic conditions, accounted for most identified inappropriateness.

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Area of Science:

  • Healthcare Management
  • Clinical Operations
  • Patient Flow Optimization

Context:

  • Implementation of a novel clinical management model at a university hospital.
  • Assessment of patient admission and hospital stay appropriateness.
  • Focus on identifying key factors contributing to inappropriate utilization.

Purpose:

  • To evaluate the effectiveness of a new clinical management model in reducing inappropriate admissions and hospital stays.
  • To identify the primary determinants of inappropriate admissions and prolonged hospitalizations.
  • To analyze the impact of the new model on different patient populations and services.

Summary:

  • A review of 401 admissions and 2,187 hospital stays using the Appropriateness Evaluation Protocol (AEP) revealed 6.9% inappropriate admissions and 12.2% inappropriate stays.
  • Predictive variables for inappropriate admissions included elective admission, weekend admission, and medical ward assignment.
  • Inappropriate hospital stays were associated with inappropriate admission, length of stay, insurance type, and discharge status.

Impact:

  • The new model demonstrates very acceptable levels of inappropriate admissions and hospital stays, with surgical services showing the most significant benefits.
  • Medical care, particularly for patients with multiple and chronic conditions, represents the largest area of identified inappropriateness.
  • Findings provide insights for refining clinical management strategies to further optimize resource utilization and patient care.