AMA

Special collection and reporting instructions apply for patients who leave against medical advice (AMA).

Collection

• Dispo:
  • enter AMA (can type AMA in dropdown)
  • AMA should be entered whether the patient follows the WRHA AMA process (signing form etc) or just goes AWOL
• Dispo DtTm:
  • The Dispo DtTm field is when the person left AMA, or was noted to be gone and assumed AMA. If a bed is "held" and the patient indeed returns, goes back into that bed without being readmitted (because the bed was held), then this isn't to be considered to be an AMA. This follows the same kind of reasoning as Visits to temporary locations.
• BedHeldEnd DtTm:
  • Enter if a bed was held hoping a pt might return

Reporting and Indicators

AMA affects the following:

• Patients who left AMA are excluded in Readmission Rate to ICU and Readmission to MedWard

• AMA is being counted as HOME in reporting for the location the patient went after discharge

Which Reports or Indicators? No specific report but commonly ask in database request. --JMojica 15:14, 2022 December 8 (CST) This will give us an alternate Dispo DtTm, too, though. So, if Dispo DtTm is used in an administrative report, are some of those actually looking for this BedHeld time rather than the pt leaving time that we have been giving them? Ttenbergen 11:10, 2022 December 14 (CST)

• SMW

• Cargo

• Categories

• AMA as itself for specific request

See also

• BedHeldEnd DtTm
• Dispo_field#AMA