Against-Medical-Advice Discharges from the Hospital : Optimizing Prevention and Management to Promote High Quality, Patient-Centered Care
https://libcat.nshealth.ca/en/permalink/provcat42894
edited by David Alfandre.
--Cham:
Springer
, c2018.
- Available Online
- View e-Book
- Location
- Online
This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced acce…
- Available Online
- View e-Book
- Other Authors
- Alfandre, David
- Responsibility
- edited by David Alfandre
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2018
- Physical Description
- 1 online resource (xii, 181 p.) : 4 illus., 2 illus. in color
- ISBN
- 9783319751306
- 9783319751290 (print ed.)
- 9783319751313 (print ed.)
- Subjects (MeSH)
- Patient Compliance
- Patient Discharge
- Patient Dropouts - psychology
- Patient-Centered Care
- Physician-Patient Relations
- Quality of Health Care
- Specialty
- Health Services Administration
- Patient Care
- Abstract
- This first-of-its-kind text provides a multidisciplinary overview of a significant problem in hospital-based healthcare: patients who decline inpatient medical care and leave the hospital against medical advice (AMA). Compared to standard hospital discharges, AMA discharges are associated with worse health and health services outcomes. Patients discharged AMA have been found to have disproportionately higher rates of substance use, psychiatric illness, and report stigmatization and reduced access to care. By providing a far reaching examination of AMA discharges for a wide academic and clinical audience, the book serves as a reference for clinical care, research, and the development of professional guidelines and institutional policy. The book provides both a broad overview of AMA discharges with chapters on the epidemiology, ethical and legal aspects, as well as social science perspectives. For clinicians in the disciplines of hospital medicine, pediatrics, emergency medicine, nursing, and psychiatry, the book also provides a patient-centered analysis of the problem, case-based discussions, and a discussion of best practices. This comprehensive review of AMA discharges and health care quality will interest physicians and other health care professionals, social workers, hospital administrators, quality and risk managers, clinician-educators, and health services researchers.
- Contents
- Part I -- 1. Introduction -- 2. Discharges Against Medical Advice: Prevalence, Predictors, and Populations -- 3. Legal Considerations of Patient Refusals of Treatment Against Medical Advice -- 4. Ethical Considerations in Against Medical Advice Discharges: Values Conflicts over Patient Autonomy and Best Interests -- 5. Reframing the Phenomenon of Discharges Against Medical Advice: A Sociologist's Perspective -- 6. Social Justice and the Ethics of Care: A Nursing Perspective -- Part II -- 7. Bedside Management of Discharges Against Medical Advice -- 8. Against Medical Advice Discharges from the Emergency Department -- 9. To Thy Own Self Be True: Contributions from Consultation-Liaison Psychiatry -- 10. Against Medical Advice Discharges: Pediatric Considerations -- 11. Against Medical Advice Discharges: Considerations in the Psychiatric Population.
- Format
- e-Book
- Location
- Online
Early postpartum discharge project
https://libcat.nshealth.ca/en/permalink/provcat53253
submitted by the Steering committee of the Early Postpartum Discharge Project.
--Halifax, NS:
Grace Maternity Hospital
, 1992.
- Call Number
- WX 158 E18 1992 RES
- Location
- IWK Health Sciences Library
- Sub-Location
- RESERVE
- Call Number
- WX 158 E18 1992 RES
- Responsibility
- submitted by the Steering committee of the Early Postpartum Discharge Project.
- Alternate Title
- Mable project
- Place of Publication
- Halifax, NS
- Publisher
- Grace Maternity Hospital
- Date of Publication
- 1992
- Physical Description
- 144 p.
- Subjects (MeSH)
- Patient Discharge
- Hospitals, Maternity
- Notes
- Contents: Working Report - Executive Summary - Proposals - Report
- Format
- Book
- Location
- IWK Health Sciences Library
- Sub-Location
- RESERVE
- Copies
- 1
- Loan Period
- 1 week
Halifax Infimary proposal for a continuing care program
https://libcat.nshealth.ca/en/permalink/provcat20276
Fry, Joan.
--Halifax, NS:
Halifax Infirmary
, 1979.
- Call Number
- WX 158 F946 1979
- Location
- Halifax Infirmary
- Call Number
- WX 158 F946 1979
- Author
- Fry, Joan
- Place of Publication
- Halifax, NS
- Publisher
- Halifax Infirmary
- Date of Publication
- 1979
- Subjects (MeSH)
- Patient Discharge
- Format
- Book
- Location
- Halifax Infirmary
- Loan Period
- 3 weeks
How hospital beds are used (overstay)
https://libcat.nshealth.ca/en/permalink/chpams35787
Nova Scotia Health Authority. Policy and Planning Acute Medicine Services.
Halifax, NS:
Nova Scotia Health Authority
, 2018.
- Pamphlet Number
- 1742
- Available Online
- View Pamphlet
This pamphlet explains how beds are used for patients staying in hospital. Information on the discharge planning process and the 'Provincial Overstay Patient Policy' is included. The pamphlet also explains what happens in an 'overstay' situation and where to find information on community support. The French version of this pamphlet 1759, "L’utilisation des lits d’hôpitaux (prolongation de séjour)", is also available.
- Available Online
- View Pamphlet
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2018
- Format
- Pamphlet
- Language
- English
- Physical Description
- 1 electronic document ([6] p.) : digital, PDF file
- Subjects (MeSH)
- Patient Discharge
- Hospitals
- Subjects (LCSH)
- Hospitals--Admission and discharge
- Abstract
- This pamphlet explains how beds are used for patients staying in hospital. Information on the discharge planning process and the 'Provincial Overstay Patient Policy' is included. The pamphlet also explains what happens in an 'overstay' situation and where to find information on community support. The French version of this pamphlet 1759, "L’utilisation des lits d’hôpitaux (prolongation de séjour)", is also available.
- Notes
- Previous title: How hospital beds are used : Cape Breton, Guysborough, Antigonish
- Responsibility
- Prepared by: Policy and Planning Acute Medicine Services
- Pamphlet Number
- 1742
L’utilisation des lits d’hôpitaux (prolongation de séjour)
https://libcat.nshealth.ca/en/permalink/chpams35815
Nova Scotia Health Authority. Policy and Planning Acute Medicine Services.
Halifax, NS:
Nova Scotia Health Authority
, 2018.
- Pamphlet Number
- 1759
- Available Online
- View Pamphlet
La présente publication explique l’utilisation des lits pour les patients qui séjournent à l’hôpital. On y trouve des renseignements sur le processus de planification des congés et sur la politique provinciale sur le prolongement de séjour à l’hôpoital. On y explique aussi ce qui se produit dans une situation de « prolongement de séjour » et où trouver des renseignements sur le soutien nécessaire dans la collectivité. ; This pamphlet is a French translation of "How Hospital Beds Are Used (Overs…
- Available Online
- View Pamphlet
- Alternate Title
- How hospital beds are used (overstay)
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2018
- Format
- Pamphlet
- Language
- French
- Physical Description
- 1 electronic document ([6] p.) : digital, PDF file
- Subjects (MeSH)
- Patient Discharge
- Hospitals
- Subjects (LCSH)
- Hospitals--Admission and discharge
- Abstract
- La présente publication explique l’utilisation des lits pour les patients qui séjournent à l’hôpital. On y trouve des renseignements sur le processus de planification des congés et sur la politique provinciale sur le prolongement de séjour à l’hôpoital. On y explique aussi ce qui se produit dans une situation de « prolongement de séjour » et où trouver des renseignements sur le soutien nécessaire dans la collectivité.
- This pamphlet is a French translation of "How Hospital Beds Are Used (Overstay)" pamphlet 1742. This pamphlet explains how beds are used for patients staying in hospital. Information on the discharge planning process and the 'Provincial Overstay Patient Policy' is included. The pamphlet also explains what happens in an 'overstay' situation and where to find information on community support.
- Notes
- Previous title: L’utilisation des lits d’hôpitaux : Cap-Breton, Guysborough, Antigonish
- Responsibility
- Prepared by: Policy and Planning Acute Medicine Services
- Pamphlet Number
- 1759
Passport to Successful ICU Discharge
https://libcat.nshealth.ca/en/permalink/provcat45576
Carole Boulanger, David McWilliams, editors.
--Cham:
Springer
, c2020.
- Available Online
- View e-Book
- Location
- Online
This book provides a holistic and multi professional approach to maximising the chances of a successful recovery for the ICU patient surviving a period of critical illness. An admission to ICU with a critical illness has a well-recognised physical, psychological and social impact all on the individual and their loved ones of which need to remain in sharp focus from admission. Successful discharge from ICU requires significant attention to detail on all aspects of care concurrently to ensure a r…
- Available Online
- View e-Book
- Other Authors
- Boulanger, Carole
- McWilliams, David
- Responsibility
- Carole Boulanger, David McWilliams, editors
- Place of Publication
- Cham
- Publisher
- Springer
- Date of Publication
- c2020
- Physical Description
- 1 online resource (xxii, 155 p.) : 44 illus., 33 illus. in color
- ISBN
- 9783030389161
- 9783030389154 (Print ed.)
- 9783030389178 (Print ed.)
- Subjects (MeSH)
- Critical Illness - rehabilitation
- Intensive Care Units
- Patient Care - methods
- Patient Discharge
- Quality of Life
- Specialty
- Intensive Care Units
- Patient Care
- Abstract
- This book provides a holistic and multi professional approach to maximising the chances of a successful recovery for the ICU patient surviving a period of critical illness. An admission to ICU with a critical illness has a well-recognised physical, psychological and social impact all on the individual and their loved ones of which need to remain in sharp focus from admission. Successful discharge from ICU requires significant attention to detail on all aspects of care concurrently to ensure a return to the best quality of life achievable. Early focus on structured rehabilitation and avoidance /prevention of ICU related complications are identified as paramount to improve both short and long term outcomes. This attention to detail needs to continue through the transition to the ward and planning discharge home. ‘Passport to a successful ICU discharge’ explores key areas to look forward to a successful recovery beginning with admission through to discharge in a holistic way. A Passport to discharge covers some key aspects to be achieved to the highest standards to create the best environment for success. A focus on promoting the best quality of life for the individual by careful attention to detail to benchmark every stage of their ICU journey which begins with admission. Chapters written by multidisciplinary ICU team members provide expert guidance and an evidence based approach to improve outcomes and return patients to their families.
- Contents
- 1. The Person Before the Patient: The Importance of a Good History -- 2. Respiratory and Mechanical Ventilation Management: Avoidance of Complications -- 3. Patient Care: From Body to Mind -- 4. Nutrition: Calories Count -- 5. Promoting Independence -- 6. Mobility and Function -- 7. Infection Prevention and Control: Simple Measures, Challenging Implementation -- 8. The Power of Communication -- 9. The Intensive Care Unit Environment: Impact and Prevention -- 10. Psychology: Person-Centred Care a Key to Successful Recovery -- 11. Conclusion.
- Format
- e-Book
- Location
- Online
Preparing for home: from admission to discharge
https://libcat.nshealth.ca/en/permalink/chpams37304
Nova Scotia Health Authority. Quality Improvement and Safety. Patient Experience.
Halifax, NS:
Nova Scotia Health Authority
, 2022.
- Pamphlet Number
- 2173
- Available Online
- View Pamphlet
When you are admitted to the hospital, you will be given an Estimated Date of Discharge (EDD). This date is when you can expect to go home, depending on how your health improves during your stay. It is important to start planning early for your discharge home. This pamphlet gives information about admission to a hospital inpatient unit, your health care team, what to expect each day, getting ready for discharge, and a list of important information. Information about patient/family feedback and …
- Available Online
- View Pamphlet
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2022
- Format
- Pamphlet
- Language
- English
- Physical Description
- 1 electronic document (5 p.) : digital, PDF file
- Subjects (MeSH)
- Hospital admission
- Patient Discharge
- Subjects (LCSH)
- Hospitals--Admission and discharge
- Specialty
- Hospitals
- Abstract
- When you are admitted to the hospital, you will be given an Estimated Date of Discharge (EDD). This date is when you can expect to go home, depending on how your health improves during your stay. It is important to start planning early for your discharge home. This pamphlet gives information about admission to a hospital inpatient unit, your health care team, what to expect each day, getting ready for discharge, and a list of important information. Information about patient/family feedback and space to keep a journal of your hospital stay/illness are included.
- The French version of this pamphlet 2290, "Se préparer au retour à la maison : de l’admission à la sortie," is also available.
- Notes
- Previous title: Preparing for home: from admission to discharge - Northern zone
- Responsibility
- Prepared by: Patient Experience - Quality Improvement and Safety
- Pamphlet Number
- 2173
Se préparer au retour à la maison : de l’admission à la sortie
https://libcat.nshealth.ca/en/permalink/chpams37595
Nova Scotia Health Authority. Quality Improvement and Safety. Patient Experience.
Halifax, NS:
Nova Scotia Health Authority
, 2022.
- Pamphlet Number
- 2290
- Available Online
- View Pamphlet
Lorsque vous êtes admis à l’hôpital, on vous donne votre date de sortie prévue (DSP), c’est-à-dire la date à laquelle vous pouvez vous attendre à rentrer à la maison, en fonction de l’amélioration de votre santé pendant votre hospitalisation. Il est important que vous commenciez à préparer tôt votre retour à la maison. Ce dépliant donne des informations sur l’admission à l’hôpital, votre équipe soignante, ce à quoi vous pouvez vous attendre chaque jour et la préparation au retour à la maison; i…
- Available Online
- View Pamphlet
- Place of Publication
- Halifax, NS
- Publisher
- Nova Scotia Health Authority
- Date of Publication
- 2022
- Format
- Pamphlet
- Language
- French
- Physical Description
- 1 electronic document (6 p.) : digital, PDF file
- Subjects (MeSH)
- Hospital admission
- Patient Discharge
- Subjects (LCSH)
- Hospitals--Admission and discharge
- Specialty
- Hospitals
- Abstract
- Lorsque vous êtes admis à l’hôpital, on vous donne votre date de sortie prévue (DSP), c’est-à-dire la date à laquelle vous pouvez vous attendre à rentrer à la maison, en fonction de l’amélioration de votre santé pendant votre hospitalisation. Il est important que vous commenciez à préparer tôt votre retour à la maison. Ce dépliant donne des informations sur l’admission à l’hôpital, votre équipe soignante, ce à quoi vous pouvez vous attendre chaque jour et la préparation au retour à la maison; il contient de plus une liste d’autres informations importantes ainsi que des informations sur les commentaires des patients et des familles de même qu’un espace pour tenir un journal sur votre séjour à l’hôpital ou votre maladie.
- This is a French translation of the English pamphlet 2173, "Preparing for Home: From Admission to Discharge". When you are admitted to the hospital, you will be given an Estimated Date of Discharge (EDD). This date is when you can expect to go home, depending on how your health improves during your stay. It is important to start planning early for your discharge home. This pamphlet gives information about admission to a hospital inpatient unit, your health care team, what to expect each day, getting ready for discharge, and a list of important information. Information about patient/family feedback and space to keep a journal of your hospital stay/illness are included.
- Responsibility
- Prepared by: Patient Experience - Quality Improvement and Safety
- Pamphlet Number
- 2290
