Vital sign abnormalities as predictors of clinical deterioration in subacute care patients: A prospective case-time-control study.

Background: Emergency interhospital transfers from inpatient subacute care to acute care occur in 8% to 17.4% of admitted patients and are associated with high rates of acute care readmission and in-hospital mortality. Serious adverse events in subacute care (rapid response team or cardiac arrest team calls) and increased nursing surveillance are the strongest known predictors of emergency interhospital transfer from subacute to acute care hospitals.

Timing of emergency interhospital transfers from subacute to acute care and patient outcomes: A prospective cohort study.

Background: Australian and international data show that transfer from inpatient rehabilitation to acute care hospitals occurs in one in ten patients. Early unplanned transfers from subacute to acute care hospitals raises questions about the safety of patient transitions between health sectors.

Objectives: To explore the characteristics of early and late emergency interhospital transfers from subacute to acute care.

Characteristics and outcomes of emergency interhospital transfers from subacute to acute care for clinical deterioration.

Objective: To describe characteristics and outcomes of emergency interhospital transfers from subacute to acute hospital care and develop an internally validated predictive model to identify features associated with high risk of emergency interhospital transfer.

Design: Prospective case-time-control study.

Setting: Acute and subacute healthcare facilities from five health services in Victoria, Australia.

Comparison of policies for recognising and responding to clinical deterioration across five Victorian health services.

Objectives The aim of the present study was to describe and compare organisational guidance documents related to recognising and responding to clinical deterioration across five health services in Victoria, Australia. Methods Guidance documents were obtained from five health services, comprising 13 acute care hospitals, eight subacute care hospitals and approximately 5500 beds. Analysis was guided by a specific policy analysis framework and a priori themes.