Adecuación de los ingresos y estancias en un Servicio de Medicina Interna de un hospital de segundo nivel utilizando la versión concurrente del AEP (Appropriateness Evaluation Protocol)

Abstract

Aims: To Study the inappropriateness of the admissions and stays in an Internal Medicine Department using the concurrent versión of the AEP (Appropriateness Evaluation Protocol). Method: Aplication of the concurrent versión of the AEP to all the patients internated in an Internal Medicine Department. Results: 59 patients and 485 stays fulfilled the inclusión criteria. A 15.3% of the admissions and a 33% of the stays did not acomplish the criteria of appropriateness of the AEP. The most frequent cause of innappropriate admisión was to avoid the delay of the ambulatory studies. The most common cause of innappropriate stay was the wait for results of complementary tests and consultancy between different specialities. Conclusions: Using the concurrent versión of the AEP allows to obtain information about the overuse of the hospitalization resources in an easy and rapid way. The results obtained in our study are similar to other made in Spain using the retrospective versión of the AEP.