Appropriateness of hospital use: an overview of Italian studies

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
G FellinA Liberati

Abstract

This paper reports on the general features and findings of 11 studies conducted in Italy on appropriateness of hospital admission and days of stay using the Appropriateness Evaluation Protocol (AEP). Studies have been grouped for presentation in two categories. The first comprises six heterogeneous studies illustrating different ways of targeting the use of the AEP: two used it to assess appropriateness of admission in an emergency room setting, two measured appropriateness of days of stay in patients with AIDS and nosocomial infections and finally two others evaluated hospital days in a group of elderly patients and "before and after" the institution of a domiciliary nursing service, respectively. The second group comprises five more homogeneous utilization review studies aimed at assessing inappropriateness of admissions and days of stay in medical/surgical departments of large hospitals in northern Italy. Besides detecting a substantial amount of inappropriateness in admission (range = 25-38%) and days of stay (range = 28-49%) this latter group of studies suggests that delays in execution and reporting of laboratory investigations, unavailability of operating rooms and delays due to difficulties in transferring patients to l...Continue Reading

Citations

Jun 10, 2011·Internal and Emergency Medicine·Gudrun GamperChristian Josef Wiedermann
Aug 31, 2002·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Carles Moya-RuizRicard Meneu
Feb 5, 2004·Postgraduate Medical Journal·A KinderP Sheldon
Aug 25, 2009·BMC Health Services Research·Joaquín F Mould-QuevedoSergio Sánchez-García
Mar 3, 2009·BMC Health Services Research·Christina L HammondApostolos Fakis
Mar 7, 2009·BMC Health Services Research·Christina L HammondMargaret F Phillips
Aug 11, 2007·Journal of Clinical Epidemiology·M P W GrocottM G Mythen
Jun 1, 2005·International Journal of Nursing Studies·Peter Griffiths, Cecilia Sironi
Apr 19, 2015·BMC Health Services Research·Maria Lucia SpecchiaAntonio Giulio De Belvis
Sep 23, 2008·Journal of Health Services Research & Policy·Daniel LouisJoseph Gonnella
Oct 26, 2018·Internal and Emergency Medicine·Greta FalavignaRoberto Ippoliti
Aug 11, 2004·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·Lambert J G G PanisMartin H Prins
Aug 26, 2020·BMC Health Services Research·Noushyar Panahpour EslamiMaralyssa Bann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
T LangL Meyer
International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
B Santos-EggimannT Blanc
International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
S Lorenzo, R Suñol
International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
M BentesE Pina
International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
A Ramos-CuadraP Lardelli-Claret
© 2021 Meta ULC. All rights reserved