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

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

doi:10.1016/j.ehmc.2015.03.003

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

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

Division of Hospital Medicine

Research output: Contribution to journal › Review article › peer-review

3 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 language	English
Pages (from-to)	421-429
Number of pages	9
Journal	Hospital Medicine Clinics
Volume	4
Issue number	3
DOIs	https://doi.org/10.1016/j.ehmc.2015.03.003
State	Published - Jul 1 2015

Keywords

Against medical advice
Decision-making capacity
Informed consent

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10.1016/j.ehmc.2015.03.003

Cite this

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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.",

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AU - Rubio, Myra L.

AU - Santos, Richard A.

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 - https://www.scopus.com/pages/publications/84931325611

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DO - 10.1016/j.ehmc.2015.03.003

M3 - Review article

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

Abstract

Keywords

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