![]() The recommendations included in this policy statement are intended to support the implementation of safe direct admission processes and to foster awareness of outcomes associated with this common portal of hospital admission.Īt the time of hospital admission, children and adolescents may experience many of the same processes of care that have been the focus of hospital discharge quality improvement initiatives, including unstructured handoffs and poor communication between health care clinicians. ![]() ![]() Recommendations included in this policy statement provide guidance related to: (i) direct admission written guidelines, (ii) clear systems of communication between members of the health care team and with families of children requiring admission, (iii) triage systems to identify patient acuity and disease severity, (iv) identification of hospital resources needed to support direct admission systems of care, (v) consideration of patient populations that may be at increased risk of adverse outcomes during the hospital admission process, (vi) addressing the relevance of local factors and resources, and (vii) ongoing evaluation of direct admission processes and outcomes. The purpose of this policy statement is to present recommendations to optimize the quality and safety of this hospital admission approach for children. One in four unscheduled hospital admissions for children and adolescents in the United States occurs via direct admission, defined as hospital admission without first receiving care in the hospital’s emergency department.
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