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2020 ; 133
(12
): 1406-1410
Nephropedia Template TP
gab.com Text
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English Wikipedia
Getting Unstuck: Challenges and Opportunities in Caring for Patients Experiencing
Prolonged Hospitalization While Stable for Discharge
#MMPMID32619432
Meo N
; Bann M
; Sanchez M
; Reddy A
; Cornia PB
Am J Med
2020[Dec]; 133
(12
): 1406-1410
PMID32619432
show ga
Many physicians care for patients who remain in the hospital for prolonged
periods despite being "medically ready" or stable for discharge. However, this
phenomenon is not well-defined, and optimal strategies to address the problem are
not known. A prolonged hospitalization past the point of medical necessity can
harm patients, frustrate care teams, and is costly for the health care system. In
this perspective, we describe opportunities to improve value of care for these
patients through the lens of the Quadruple Aim, a common framework used to guide
health care transformation efforts. We then offer recommendations, including some
employed by our hospitals, for clinicians, researchers, and health care systems
to improve the care for patients who are "stuck" in the hospital.