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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Med 2020 ; 133 (12): 1406-10 Nephropedia Template TP
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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): 1406-10 PMID32619432show 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.