Safety

Examine transfers as part of peer-review process

Ambulatory Safety Monitor, January 19, 2006

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Analyzing transfers as part of your peer-review process is important because it can indicate whether your physicians appropriately select the proper patients for your ambulatory environment.

"If you're planning transfers or constantly transferring people out, there is a problem, and usually the problem is with poor patient selection," says Barbara Ann Harmer, RN, BSN, MHA, senior consultant for Healthcare Consultants International, Inc., and AAAHC surveyor.

Patient selection is a critical element of ambulatory surgery center functions and can be quantified by reviewing how many transfers to an inpatient setting you made and the reasons for doing so. Statistically, ambulatory facilities should transfer less than 1% of their total patient volume, Harmer says.



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