Inappropriate Use of Hospitals

Michael J. Fishbein; Arthur Chernoff; Nicholas E. Davies; Albert L. Siu; Frank A. Sonnenberg; Willard G. Manning; George A. Goldberg; Ellyn S. Bloomfield; Joseph P. Newhouse; Robert H. Brook

doi:10.1056/NEJM198705073161911

Inappropriate Use of Hospitals

Michael J. Fishbein, Arthur Chernoff, Nicholas E. Davies, Albert L. Siu, Frank A. Sonnenberg, Willard G. Manning, George A. Goldberg, Ellyn S. Bloomfield, Joseph P. Newhouse, Robert H. Brook

Research output: Contribution to journal › Letter › peer-review

3 Scopus citations

Abstract

To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.

Original language	English
Pages (from-to)	1215-1216
Number of pages	2
Journal	New England Journal of Medicine
Volume	316
Issue number	19
DOIs	https://doi.org/10.1056/NEJM198705073161911
State	Published - 7 May 1987
Externally published	Yes

Access to Document

10.1056/NEJM198705073161911

Cite this

@article{31dec26131aa4be38913cc3b6d46f7fe,

title = "Inappropriate Use of Hospitals",

abstract = "To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.",

author = "Fishbein, {Michael J.} and Arthur Chernoff and Davies, {Nicholas E.} and Siu, {Albert L.} and Sonnenberg, {Frank A.} and Manning, {Willard G.} and Goldberg, {George A.} and Bloomfield, {Ellyn S.} and Newhouse, {Joseph P.} and Brook, {Robert H.}",

year = "1987",

month = may,

day = "7",

doi = "10.1056/NEJM198705073161911",

language = "English",

volume = "316",

pages = "1215--1216",

journal = "New England Journal of Medicine",

issn = "0028-4793",

publisher = "Massachussetts Medical Society",

number = "19",

}

TY - JOUR

T1 - Inappropriate Use of Hospitals

AU - Fishbein, Michael J.

AU - Chernoff, Arthur

AU - Davies, Nicholas E.

AU - Siu, Albert L.

AU - Sonnenberg, Frank A.

AU - Manning, Willard G.

AU - Goldberg, George A.

AU - Bloomfield, Ellyn S.

AU - Newhouse, Joseph P.

AU - Brook, Robert H.

PY - 1987/5/7

Y1 - 1987/5/7

N2 - To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.

AB - To the Editor: The article by Siu et al. (Nov. 13 issue)* raises some important questions. The first concerns the use of experts and the Appropriateness Evaluation Protocol (AEP) as yardsticks for measuring the appropriateness of a hospital admission. How would the protocol evaluate an elderly patient with normal vital signs, normal laboratory data, and normal x-ray findings who reports vague abdominal and back pain? Could the AEP or an expert reviewing this patient's chart judge better than I whether this patient may or may not have a dissecting abdominal aortic aneurysm? If it turns out that he does not.

UR - http://www.scopus.com/inward/record.url?scp=0023180049&partnerID=8YFLogxK

U2 - 10.1056/NEJM198705073161911

DO - 10.1056/NEJM198705073161911

M3 - Letter

C2 - 3574374

AN - SCOPUS:0023180049

SN - 0028-4793

VL - 316

SP - 1215

EP - 1216

JO - New England Journal of Medicine

JF - New England Journal of Medicine

IS - 19

ER -

Inappropriate Use of Hospitals

Abstract

Access to Document

Fingerprint

Cite this