caa a22 4500 397518927 CHVBK 20180308164627.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/intqhc/7.3.261 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.3.261 Factors Associated with Inappropriate Hospitalization in Medical Wards: a Cross-sectional Study in Two University Hospitals [Elektronische Daten] [YAEL PALDI, AVI PORATH, LIAT FRIEDMAN, BENJAMIN MOZES] A comparative study of the appropriateness of hospitalization was conducted in the medical departments of two university hospitals in Israel. A cross-section of 297 patients on one hospitalization day was analyzed using the Appropriateness Evaluation Protocol (AEP). Data were independently collected by two reviewers (R1 and R2). The study revealed a significant difference in the percent of inappropriate hospitalization between the two hospitals, i.e. 13.3% (R1) or19.3% (R2) for hospital B, and 24.5% (R1) or 32% (R2) for hospital A. The reviewers were in agreement regarding evaluation (92.6%, Kappa 0.78) of 275 index days. A multivariate analysis of the index days with agreed appropriateness correlated with occupancy and length of stay. Routine monitoring of appropriateness of hospital stay should, therefore, be targeted to medical departments with relatively low occupancy rates and/or prolonged average stay. © 1995 Elsevier Science Ltd APPROPRIATENESS OF HOSPITAL USE: A COMPARATIVE STUDY nationallicence Appropriateness Evaluation Protocol (AEP) nationallicence occupancy nationallicence inappropriate hospitalization nationallicence prolonged stay nationallicence PALDI YAEL Clinical Epidemiology Unit, Faculty of Health Services, Ben Gurion University of the Negev Beer Sheva, Israel aut PORATH AVI Clinical Epidemiology Unit, Faculty of Health Services, Ben Gurion University of the Negev Beer Sheva, Israel aut FRIEDMAN LIAT Gertner Institute, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, Israel aut MOZES BENJAMIN Gertner Institute, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, Israel aut International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 261-265 1353-4505 7:3<261 1995 7 intqhc https://doi.org/10.1093/intqhc/7.3.261 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.3.261 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- PALDI YAEL Clinical Epidemiology Unit, Faculty of Health Services, Ben Gurion University of the Negev Beer Sheva, Israel aut NATIONALLICENCE 700 1- PORATH AVI Clinical Epidemiology Unit, Faculty of Health Services, Ben Gurion University of the Negev Beer Sheva, Israel aut NATIONALLICENCE 700 1- FRIEDMAN LIAT Gertner Institute, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, Israel aut NATIONALLICENCE 700 1- MOZES BENJAMIN Gertner Institute, Chaim Sheba Medical Center, Tel Hashomer, Sackler Faculty of Medicine, Tel Aviv University Tel Aviv, Israel aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 261-265 1353-4505 7:3<261 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford