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How hospitalists handle admission requests from the emergency department - Today's Hospitalist

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ASK HOSPITALISTS about what happens when the ED wants to admit patients, and you’ll get an earful. ED physicians, they say, regularly make end runs around them with admission requests, first calling specialists who invariably recommend that the patient be admitted to internal medicine. Or ED doctors click their electronic decision-to-admit button, time-stamping that decision, before they even talk to an admitting provider. Or the ED requests an admission before it has any of the labs or tests back that hospitalists need to decide if the patient should go to the ICU or not. Ann Kellogg, DO, assistant director of the hospitalist program at Sky Lakes Medical Center in Klamath Falls, Ore., describes how admission requests play out at her hospital: Hospitalists end up discharging from the ED about 10% of the patients that emergency physicians think should be admitted. And “the ED mislabels between 15% and 20% of admissions, due to patient severity, and we routinely have to do a significant

Home Cover Story How hospitalists handle admission requests from the emergency department Facebook Twitter Pinterest WhatsApp ASK HOSPITALISTS about what happens when the ED wants to admit patients, and you’ll get an earful. ED physicians, they say, regularly make end runs around them with admission requests, first calling specialists who invariably recommend that the patient be admitted to internal medicine. Or ED doctors click their electronic decision-to-admit button, time-stamping that decision, before they even talk to an admitting provider. Or the ED requests an admission before it

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