Transfer of Unstable Patients: Dumping or Duty?

Jonasson, Olga

doi:10.1001/jama.1987.03390110095036

JAMA

1987

DOI: 10.1001/jama.1987.03390110095036

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Transfer of Unstable Patients: Dumping or Duty?

Olga Jonasson¹

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Cited by 14 publications

(1 citation statement)

References 6 publications

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“…Often no special provisions were made for patients seriously ill during transport. 3. Patients were accepted at our hospital even when there was little or no bed space in intensive care units, creat¬ ing difficult in-hospital triage problems, especially during off-hours and on weekends.…”

mentioning

confidence: 99%

Dumping

Franklin¹

1987

JAMA

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mentioning

confidence: 99%

Dumping

Franklin¹

1987

JAMA

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Community Hospital Transfers to a VA Medical Center

Kerr

Byrd²

1989

JAMA

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We prospectively studied all transfers from community hospitals to the Zablocki Veterans Administration Medical Center in Milwaukee (Wis) between May 28, 1986, and January 1, 1987. Transfers totaled 4.7% (311/6609) of acute-care admissions during the study period but accounted for 19.1% (39/204) of in-hospital deaths. The mortality rate for transferred patients who required Veterans Administration hospitalization was 12.5% (39/311) compared with 2.6% (165/6298) for all other admissions. At the time of transfer 59 patients (19%) were judged unstable by a modification of the APACHE II classification system, yet only 19 patients were cared for en route by a physician or a nurse. In addition to higher mortality, the transferred patients had a longer median length of stay than nontransferred patients (11 days vs 7 days).

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Computer-assisted assessment of patient care in the hospital

Gabrieli¹

1988

J Med Syst

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Transfer of Unstable Patients: Dumping or Duty?

Cited by 14 publications

References 6 publications

Dumping

Dumping

Community Hospital Transfers to a VA Medical Center

Computer-assisted assessment of patient care in the hospital

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