• Am. J. Med. · Jun 2021

    Review

    Against Medical Advice Discharge: A Narrative Review and Recommendations for a Systematic Approach.

    • Emily G Holmes, Benjamin S Cooley, Sheryl B Fleisch, and Donald L Rosenstein.
    • Department of Psychiatry, Indiana University, Indianapolis. Electronic address: egholmes@iu.edu.
    • Am. J. Med. 2021 Jun 1; 134 (6): 721-726.

    AbstractApproximately 1%-2% of hospitalizations in the United States result in an against medical advice discharge. Still, the practice of discharging patients against medical advice is highly subjective and variable. Discharges against medical advice are associated with physician distress, patient stigma, and adverse outcomes, including increased morbidity and mortality. This review summarizes discharge against medical advice research, proposes a definition for against medical advice discharge, and recommends a standard approach to a patient's request for discharge against medical advice.Copyright © 2021 Elsevier Inc. All rights reserved.

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