Discharges Against Medical Advice: Considerations for the Hospitalist and the Patient

Caroline Holleck Kahle, Myra L. Rubio, Richard A. Santos

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)421-429
Number of pages9
JournalHospital Medicine Clinics
Volume4
Issue number3
DOIs
StatePublished - Jul 1 2015

Keywords

  • Against medical advice
  • Decision-making capacity
  • Informed consent

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