Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-nmvwc Total loading time: 0 Render date: 2024-07-02T05:11:28.516Z Has data issue: false hasContentIssue false

Case 1 - Expanding the Role of Observation Care

Published online by Cambridge University Press:  04 July 2017

Jennifer L. Wiler
Affiliation:
University of Colorado School of Medicine
Jesse M. Pines
Affiliation:
George Washington University, Washington DC
Michael J. Ward
Affiliation:
Vanderbilt University Medical Center, Tennessee
Get access

Summary

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Lyons, AS. Hippocrates. Available at www.healthguidance.org/entry/6338/1/Hippocrates.html; 2013. Accessed February 25, 2013.Google Scholar
Gururaj, VJ, Allen, JE, Russo, RM. Short stay in an outpatient department: an alternative to hospitalization. American Journal of Diseases of Children. 1972;123(2):128132.CrossRefGoogle Scholar
Graff, LG, Dallara, J, Ross, MA, et al. Impact on the care of the emergency department chest pain patient from the chest pain evaluation registry (CHEPER) study. American Journal of Cardiology. 1997;80(5):563568.CrossRefGoogle ScholarPubMed
Gaspoz, JM, Lee, TH, Weinstein, MC, et al. Cost-effectiveness of a new short-stay unit to “rule out” acute myocardial infarction in low risk. Journal of American College of Cardiology. 1994;24(5): 12491259.Google Scholar
Farkouh, ME, Smars, PA, Reeder, GS, et al. A clinical trial of a chest-pain observation unit for patients with unstable angina. Chest Pain Evaluation in the Emergency Room (CHEER) Investigators. New England Journal of Medicine. 1998;339(26):18821888.Google Scholar
Venkatesh, AK, Geisler, BP, Gibson Chambers, JJ, et al. Use of observation care in US emergency departments, 2001 to 2008. PLoS ONE. 2011;6(9):e24326.CrossRefGoogle ScholarPubMed
Medicare Payment Advisory Committee. A data book: healthcare spending and the Medicare program. 2011:112.Google Scholar
Center for Medicare and Medicaid Services. Frequently asked questions: 2 midnight inpatient admission guidance and patient status reviews for admissions. 2013; 2014. Available at www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medical-Review/Downloads/QAsforWebsitePosting_110413-v2-CLEAN.pdf. Accessed September 9, 2015.Google Scholar
Baugh, CW, Venkatesh, AK, Bohan, JS. Emergency department observation units: a clinical and financial benefit for hospitals. Health Care Management Review. 2011;36(1):2837.CrossRefGoogle ScholarPubMed
Chandra, A, Sieck, S, Hocker, M, et al. An observation unit may help improve an institution’s Press Ganey satisfaction score. Clinical Geriatric Medicine. 2011;10(2):104106.Google Scholar
American Hospital Association. Exploring the impact of the RAC program on hospitals nationwide. Available at www.aha.org/content/13/12Q4ractracresults.pdf. Accessed December 29, 2015.Google Scholar
Mace, SE, Graff, L, Mikhail, M, et al. A national survey of observation units in the United States. American Journal of Emergency Medicine. 2003;21(7):529533.CrossRefGoogle ScholarPubMed
Ross, MA, Hockenberry, JM, Mutter, R, et al. Protocol-driven emergency department observation units offer savings, shorter stays, and reduced admissions. Health Affairs. 2013;32(12):21492156.Google Scholar
Graff, LG. Observation medicine: the healthcare system’s tincture of time. Available at www.acep.org/Physician-Resources/Practice-Resources/Administration/Observation-Medicine/. Accessed December 29, 2015.Google Scholar
Pallin, DJ, Allen, MB, Espinola, JA, et al. Population aging and emergency departments: visits will not increase, lengths-of-stay and hospitalizations will. Health Affairs. 2013;32(7):13061312.CrossRefGoogle Scholar
Office of the Inspector General. Hospitals’ use of observation stays and short inpatient stays for Medicare beneficiaries, 2013. OEI-02-12-00040.Google Scholar
Reichlin, T, Schindler, C, Drexler, B, et al. One-hour rule-out and rule-in of acute myocardial infarction using high-sensitivity cardiac troponin T. Archives of Internal Medicine. 2012;172(16):12111218.CrossRefGoogle ScholarPubMed
Backus, BE, Six, AJ, Kelder, JC, et al. Chest pain in the emergency room: a multicenter validation of the HEART Score. Critical Pathways in Cardiology. 2010;9(3):164169.CrossRefGoogle ScholarPubMed
Mahler, S, Riley, R, Hiestand, B, et al. The HEART pathway randomized trial: identifying emergency department patients with acute chest pain for early discharge. Circulation: Cardiovascular Quality and Outcomes. 2015;8(2):195203.Google ScholarPubMed
Prasad, V, Cheung, M, Cifu, A. Chest pain in the emergency department: the case against our current practice of routine noninvasive testing. Archives of Internal Medicine. 2012;172(19):15061509.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×