Evidence map›Paper›PMID 32619432›Full record

ArticleThe American journal of medicine2020

Getting Unstuck: Challenges and Opportunities in Caring for Patients Experiencing Prolonged Hospitalization While Stable for Discharge.

Nicholas Meo, Maralyssa Bann, Mala Sanchez, Ashok Reddy, Paul B Cornia

Abstract read
In one paragraph

Article in The American journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicholas MeoSchool of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash. Electronic address: nmeo@uw.edu.
Maralyssa BannSchool of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash.
Mala SanchezSchool of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash.
Ashok ReddySchool of Medicine, Department of Medicine, University of Washington, Seattle; Northwest HSR&D Center of Excellence, VA Puget Sound Healthcare System, Seattle, Wash; General Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash.
Paul B CorniaSchool of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many physicians care for patients who remain in the hospital for prolonged periods despite being "medically ready" or stable for discharge. However, this phenomenon is not well-defined, and optimal strategies to address the problem are not known. A prolonged hospitalization past the point of medical necessity can harm patients, frustrate care teams, and is costly for the health care system. In this perspective, we describe opportunities to improve value of care for these patients through the lens of the Quadruple Aim, a common framework used to guide health care transformation efforts. We then offer recommendations, including some employed by our hospitals, for clinicians, researchers, and health care systems to improve the care for patients who are "stuck" in the hospital.

Indexed as

HospitalizationLength of StayPatient DischargeHumansInpatientsQuality of Health CareHigh value careHospital medicineQuality improvementSocial determinants of health

Identifiers

PMID32619432
PMCPMC7324918

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.