Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions
Background: A patient decides to leave the hospital against medical advice. Is this an erratic eccentric behavior of the patient, or a gap in the quality of care provided by the hospital? With a significant and increasing prevalence of up to 1–2% of all hospital admissions, leaving against medical a...
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-01-01
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| Series: | Healthcare |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9032/9/2/111 |
| _version_ | 1797408937893429248 |
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| author | Asseel Albayati Steven Douedi Abbas Alshami Mohammad A. Hossain Shuvendu Sen Vito Buccellato Anamarrie Cutroneo Jason Beelitz Arif Asif |
| author_facet | Asseel Albayati Steven Douedi Abbas Alshami Mohammad A. Hossain Shuvendu Sen Vito Buccellato Anamarrie Cutroneo Jason Beelitz Arif Asif |
| author_sort | Asseel Albayati |
| collection | DOAJ |
| description | Background: A patient decides to leave the hospital against medical advice. Is this an erratic eccentric behavior of the patient, or a gap in the quality of care provided by the hospital? With a significant and increasing prevalence of up to 1–2% of all hospital admissions, leaving against medical advice affects both the patient and the healthcare provider. We hereby explore this persistent problem in the healthcare system. We searched Medline and PubMed within the last 10 years, using the keywords “discharge against medical advice,” “DAMA,” “leave against medical advice,” and “AMA.” We retrospectively reviewed 49 articles in our project. Ishikawa fishbone root cause analysis (RCA) was employed to explore reasons for leaving against medical advice (AMA). This report presents the results of the RCA and highlights the consequences of discharge against medical advice (DAMA). In addition, the article explores preventive strategies, as well as interventions to ameliorate leaving AMA. |
| first_indexed | 2024-03-09T04:06:56Z |
| format | Article |
| id | doaj.art-c0a26ae273784528a37f06eff1a0330b |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T04:06:56Z |
| publishDate | 2021-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-c0a26ae273784528a37f06eff1a0330b2023-12-03T14:06:16ZengMDPI AGHealthcare2227-90322021-01-019211110.3390/healthcare9020111Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and InterventionsAsseel Albayati0Steven Douedi1Abbas Alshami2Mohammad A. Hossain3Shuvendu Sen4Vito Buccellato5Anamarrie Cutroneo6Jason Beelitz7Arif Asif8Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USADepartment of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USABackground: A patient decides to leave the hospital against medical advice. Is this an erratic eccentric behavior of the patient, or a gap in the quality of care provided by the hospital? With a significant and increasing prevalence of up to 1–2% of all hospital admissions, leaving against medical advice affects both the patient and the healthcare provider. We hereby explore this persistent problem in the healthcare system. We searched Medline and PubMed within the last 10 years, using the keywords “discharge against medical advice,” “DAMA,” “leave against medical advice,” and “AMA.” We retrospectively reviewed 49 articles in our project. Ishikawa fishbone root cause analysis (RCA) was employed to explore reasons for leaving against medical advice (AMA). This report presents the results of the RCA and highlights the consequences of discharge against medical advice (DAMA). In addition, the article explores preventive strategies, as well as interventions to ameliorate leaving AMA.https://www.mdpi.com/2227-9032/9/2/111dischargequality improvementagainst medical adviceAMADAMA |
| spellingShingle | Asseel Albayati Steven Douedi Abbas Alshami Mohammad A. Hossain Shuvendu Sen Vito Buccellato Anamarrie Cutroneo Jason Beelitz Arif Asif Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions Healthcare discharge quality improvement against medical advice AMA DAMA |
| title | Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions |
| title_full | Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions |
| title_fullStr | Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions |
| title_full_unstemmed | Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions |
| title_short | Why Do Patients Leave against Medical Advice? Reasons, Consequences, Prevention, and Interventions |
| title_sort | why do patients leave against medical advice reasons consequences prevention and interventions |
| topic | discharge quality improvement against medical advice AMA DAMA |
| url | https://www.mdpi.com/2227-9032/9/2/111 |
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