Why do patients leave against medical advice? Reasons, consequences, prevention, and interventions

A Albayati, S Douedi, A Alshami, MA Hossain, S Sen… - Healthcare, 2021 - mdpi.com
Background: A patient decides to leave the hospital against medical advice. Is this an erratic
eccentric behavior of the patient, or a gap in the quality of care provided by the hospital …

The risk factors, consequences, and interventions of discharge against medical advice-A narrative review

K Foster, A Caswell, L James, H Jessani… - The American Journal of …, 2023 - Elsevier
Discharge against medical advice (DAMA) represents an increasingly burdensome public
health issue that leads to worse outcomes for patients and high costs to society. While the …

Patients' experiences of triage in an emergency department: A phenomenographic study

M Phiri, T Heyns, I Coetzee - Applied nursing research, 2020 - Elsevier
Background Triage, predominantly done by nurses in the emergency department, is globally
accepted as essential to prioritise the acuity of patient care. Patients with low acuity illness …

Discharge against medical advice from the emergency department in a university hospital

FH Abuzeyad, M Farooq, SF Alam, MI Ibrahim… - BMC emergency …, 2021 - Springer
Background Patients discharged against medical advice (DAMA) act as a high-risk
population for the Emergency Department (ED), regardless of their presentations, and can …

COVID-19 outbreak impact on discharge against medical advice from the ED: A retrospective study

H Aydin, H Doğan - The American Journal of Emergency Medicine, 2022 - Elsevier
Background The COVID-19 pandemic has profoundly affected the habits of patients, as well
as its negative effects on human health. The aim of this study is to investigate the factors …

'But what if you miss something…?': factors that influence medical student consideration of cost in decision making

E Tan, WM Ng, PC Soh, D Tan, J Cleland - BMC Medical Education, 2023 - Springer
Context Cost-conscious care is critical for healthcare sustainability but evidence suggests
that most doctors do not consider cost in their clinical decision making. A critical step in …

“I'm Leaving”: Factors That Impact Against Medical Advice Disposition Post-Trauma

K Haines, J Freeman, C Vastaas, C Rust, C Cox… - The Journal of …, 2020 - Elsevier
Background Discharge against medical advice (AMA) is an important, yet understudied,
aspect of health care—particularly in trauma populations. AMA discharges result in …

Refusal of emergency medical treatment: case studies and ethical foundations

CA Marco, JM Brenner, CK Kraus, NA McGrath… - Annals of Emergency …, 2017 - Elsevier
Informed consent is an important component of emergency medical treatment. Most
emergency department patients can provide informed consent for treatment upon arrival …

Refusal of emergency medical care: an analysis of patients who left without being seen, eloped, and left against medical advice

CA Marco, M Bryant, B Landrum, B Drerup… - The American journal of …, 2021 - Elsevier
Objective Emergency department (ED) patients may elect to refuse any aspect of medical
care. They may leave prior to physician evaluation, elope during treatment, or leave against …

Uncompleted emergency department care and discharge against medical advice in patients with neurological complaints: a chart review

C Hoyer, P Stein, A Alonso, M Platten… - BMC emergency medicine, 2019 - Springer
Background Uncompleted emergency department care and against-medical-advice
discharge represent relevant medical problems with impact on patient safety and potential …