TY - JOUR
T1 - Discharges Against Medical Advice
T2 - Considerations for the Hospitalist and the Patient
AU - Kahle, Caroline Holleck
AU - Rubio, Myra L.
AU - Santos, Richard A.
N1 - Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Discharges against medical advice (AMA) are associated with higher rates of readmissions and overall worse health outcomes. This article describes the characteristics of patients at higher risk for AMA discharges. The necessary criteria for AMA discharge, including informed consent and decision-making capacity, are discussed. Critical elements of documentation are also reviewed. Finally, ethical obligations for the medical care of patients who discharge AMA, including facilitation of aftercare, are considered.
AB - Discharges against medical advice (AMA) are associated with higher rates of readmissions and overall worse health outcomes. This article describes the characteristics of patients at higher risk for AMA discharges. The necessary criteria for AMA discharge, including informed consent and decision-making capacity, are discussed. Critical elements of documentation are also reviewed. Finally, ethical obligations for the medical care of patients who discharge AMA, including facilitation of aftercare, are considered.
KW - Against medical advice
KW - Decision-making capacity
KW - Informed consent
UR - http://www.scopus.com/inward/record.url?scp=84931325611&partnerID=8YFLogxK
U2 - 10.1016/j.ehmc.2015.03.003
DO - 10.1016/j.ehmc.2015.03.003
M3 - Review article
AN - SCOPUS:84931325611
SN - 2211-5943
VL - 4
SP - 421
EP - 429
JO - Hospital Medicine Clinics
JF - Hospital Medicine Clinics
IS - 3
ER -