Audit
Acute hospital admissions from nursing homes: some may be
avoidable
C E Bowmana, J Elforda, J Doveya, S Campbella, H Barrowcloughb
a Department of
Clinical Geratology, Weston General Hospital, Weston-super-Mare, Avon
BS23 4TQ, UK, b Clinical Audit, Weston
General Hospital
Correspondence to: Dr Bowman drbowman{at}mcmail.com
Submitted 14 February
2000;
Accepted 22 June 2000
A retrospective survey of acute hospital admissions from
nursing homes over a year to a district hospital revealed high overall hospital admission rates and wide variations of admission rates from
similar homes. Medical admissions dominated, infections and poorly
controlled heart failure being notably common. A significant proportion
of admissions may have been avoided by active chronic disease
management, together with better information for doctors responding to
emergency calls and specialist support programmes facilitating in situ treatment.
Keywords: nursing homes; acute hospital admission; geriatric patients
© 2001 by The Fellowship of Postgraduate Medicine
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