ArticleIranian Red Crescent medical journal2015
Developing of the appropriateness evaluation protocol for public hospitals in iran.
Article in Iranian Red Crescent medical journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Development of an evaluation index system for inappropriate hospital admissions after colorectal cancer surgery in the context of enhanced recovery after surgery.BMC nursing · 2025Article
- Inappropriate Hospital Admission According to Patient Intrinsic Risk Factors: an Epidemiological Approach.Journal of general internal medicine · 2023Observational
- Is there a change in the appropriateness of admission after patients were admitted? Evidence from four county hospitals in rural China.Frontiers in public health · 2023Article
- Prevalence and determinants of inappropriate admission and hospitalization in Iran: A systematic review and meta-analysis.Medical journal of the Islamic Republic of Iran · 2020Article
- Assessment of appropriateness of hospitalisations in Ukraine: analytical framework, method and findings.BMJ open · 2019Article
- Reliability and Validity of the Appropriateness Evaluation Protocol for Public Hospitals in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2019Article
- Investigating the Appropriateness of Admission and Hospitalization at a Teaching Hospital: A Case of a Developing Country.Iranian journal of public health · 2017Article
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5 authors.
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Abstract
backgroundEmployment of utilization review instruments is a method for managing costs and efficiency in the healthcare systems.
objectivesThis study developed an instrument for measuring the level of inappropriate acute hospital admissions and days of care in Iran. PATIENTS AND
methodsThe American version of the Appropriateness Evaluation Protocol (AEP) was modified, using the agreement method, by a multidisciplinary group of physicians. We conducted a retrospective descriptive study of 273 randomly selected patients admitted to Imam Khomeini Hospital of Tehran University of Medical Sciences in Tehran, Iran. For the reliability study, two nurses were asked to review patients' medical records using the instrument. Validity was appraised by pairs of clinicians, including two general surgeons, two internists and two gynecologists. The degree of consensus between the three pairs of clinicians was compared with that of the nurses.
resultsInter-rater and intra-rater reliability testing revealed an excellent level of consensus between the two nurses employing the AEP in all the studied departments. Overall agreement was > 92%, while the specific appropriate agreement and specific inappropriate agreement were > 88% and > 83%, respectively. External validity testing of the instrument yielded a sensitivity > 0.785, specificity > 0.55, and positive and negative predictive values > 0.775 and > 0.555, respectively. The kappa statistic for the nurses who applied the AEP and clinicians using personal judgment were perfect (k > 0.85) and substantial (k > 0.68), respectively.
conclusionsThe results illustrate that the Iranian version of the AEP (IR-AEP) could be a reliable and valid instrument for assessing the level of inappropriate acute hospital admissions and days of care in the Iranian context.
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