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Direct Admission from the Emergency Department to a Subacute Care Ward: An Alternative to Acute Hospitalization

2020; Elsevier BV; Volume: 21; Issue: 9 Linguagem: Inglês

10.1016/j.jamda.2020.05.064

1538-9375

Seng Hock Ang, Barbara Helen Rosario, Ko Yen Ivan Ngeow, Xin Yu Koh, Seruwati Abdul Hamid, Foo Chin Loi, Jia Xu, Subramaniam Nagasayi, Stephen Paul Wilkinson, Hsiang Peng Adrian Lee, Wai Leng Chow, Yuan Xin Christine Chen, Thulasi Chandran, Christopher Lien,

Hospital Admissions and Outcomes

In recent years, subacute care units (SCUs) have emerged as alternatives to acute hospitalization for selected emergency department (ED) patients who might benefit from a short period of inpatient stay within a less acute setting. We developed a new protocol to directly admit selected older patients from our acute hospital's (AH) ED to the SCU of a partner community hospital, making use of our ED's short-stay ward as a transit area to overcome administrative, financial, and clinical barriers. The new protocol has removed the need for intervening stays of longer than 24 hours at our AH, reduced overall length of stay across both institutions, decreased hospital admissions, and reduced the number of patient hand-offs.