O'Donnell J, Pilla J, Van Gemert L
Royal Adelaide Hospital, South Australia.
Aust Health Rev. 1990;12(4):19-33.
The Appropriateness Evaluation Protocol (AEP) is a criterion audit tool used extensively in the USA to assess the appropriateness of admission to hospitals. This study evaluated the utility of the AEP in an Australian teaching hospital, and recommends minor modifications to the criteria to improve the efficiency of the audit process. Six per cent of admissions in the sample were inappropriate according to the AEP criteria. These cases could have been managed in an alternate facility providing a lower level of care, or care provided on an outpatient or day-patient basis. The additional cost of the inappropriate admissions to an acute hospital is estimated at $A1750 per case.
适宜性评估方案（AEP）是一种在美国广泛使用的标准审核工具，用于评估医院入院的适宜性。本研究评估了AEP在一家澳大利亚教学医院中的效用，并建议对标准进行细微修改以提高审核流程的效率。根据AEP标准，样本中6%的入院病例是不适宜的。这些病例本可在提供较低护理水平的替代机构中得到处理，或在门诊或日间病房接受护理。急性医院不适宜入院病例的额外费用估计为每例1750澳元。
