Against medical advice discharge: a narrative review and recommendations for a systematic approach

EG Holmes, BS Cooley, SB Fleisch… - The American Journal of …, 2021 - Elsevier
Abstract Approximately 1%-2% of hospitalizations in the United States result in an against
medical advice discharge. Still, the practice of discharging patients against medical advice is …

Discharges against medical advice: time to address the causes

R Saitz - Cmaj, 2002 - Can Med Assoc
© 2002 Canadian Medical Association or its licensors signed studies, our understanding of
discharge against medical advice remains inadequate. Few, if any, large studies have …

Discharge against medical advice: how often do we intervene?

J Edwards, R Markert, D Bricker - Journal of Hospital Medicine, 2013 - Wiley Online Library
BACKGROUND Discharges against medical advice (AMA) occur in 1% to 2% of hospital
stays and are associated with increased morbidity, readmission rates, and 30‐day mortality …

Discharge against medical advice: ethical considerations and professional obligations

JT Berger - Journal of hospital medicine: an official publication …, 2008 - Wiley Online Library
Discharges against medical advice (AMA) account for approximately 1% of discharges for
general medical patients. Patients discharged AMA have longer eventual hospital stays and …

Increased risk of mortality and readmission among patients discharged against medical advice

WN Southern, S Nahvi, JH Arnsten - The American journal of medicine, 2012 - Elsevier
BACKGROUND: Approximately 500,000 patients are discharged from US hospitals against
medical advice annually, but the associated risks are unknown. METHODS: We examined …

Reconsidering against medical advice discharges: embracing patient-centeredness to promote high quality care and a renewed research agenda

D Alfandre - Journal of general internal medicine, 2013 - Springer
Hospital discharges against medical advice (AMA) are common, costly, stigmatizing to
patients, and are associated with excess morbidity and mortality. Achieving better quality …

Burden of 30-day readmissions associated with discharge against medical advice among inpatients in the United States

N Kumar - The American Journal of Medicine, 2019 - Elsevier
Background Discharges against medical advice are common among inpatients in the United
States. The impact of discharge against medical advice on readmission rates and …

Discharges against medical advice at a county hospital: provider perceptions and practice

CR Stearns, A Bakamjian, S Sattar… - Journal of Hospital …, 2017 - Wiley Online Library
BACKGROUND Patients discharged against medical advice (AMA) have higher rates of
readmission and mortality than patients who are conventionally discharged. Bioethicists …

Why do patients leave against medical advice? Reasons, consequences, prevention, and interventions

A Albayati, S Douedi, A Alshami, MA Hossain, S Sen… - Healthcare, 2021 - mdpi.com
Background: A patient decides to leave the hospital against medical advice. Is this an erratic
eccentric behavior of the patient, or a gap in the quality of care provided by the hospital …

What is wrong with discharges against medical advice (and how to fix them)

D Alfandre, JH Schumann - JAMA, 2013 - jamanetwork.com
It is estimated that as many as 2% of all US hospital discharges (approximately 500 000 per
year) are designated as against medical advice1; that is, a patient chooses to leave the …