The Admissions Myth
When is an admission an admission?
24 hours a day, 7 days a week, 365 days a year, people come to emergency departments. They come by car, by foot, by ambulance, by helicopter looking for care in the hospital. Yet they are not “admissions”, they are “attendances”.
The majority of these patients have all their care done in the ED and are sent home. A minority, let’s say a third, need to be referred and seen by a second specialist team who will decide invariably to keep the patient in hospital. At this point they become an admission.
It’s the same patient, the same person, but by a simple decision they cross the Rubicon from attendance to admission. This is weighted with significance, and I think it’s wrong.