Ver el código de «Bounceback prevention»

==Step 1==
Identify High Risk patients:
*High risk complaint without definitive diagnosis on discharge (eg [[Abdominal Pain]], [[Chest Pain (DDx)|Chest Pain]], [[Headache]], [[Fever]])
*Abnormal vital signs
*Condition making it less likely patient will return for worsening symptoms (mental/psych/substance abuse)
*Chronic disease with decompensation
*Difficulty obtaining accurate data (language, dementia, inebriation, etc)
*Advanced age
*Upset patient
*Unmet patient expectations
*Bouncebacks (a patient return, usually within 72h)

OVERALL: a patient you will worry about after your shift

==Step 2==
Review your evaluation prior to discharge:
*Address ALL documented complaints in H&P
*Confirm history is accurate
*Consider potentially serious diagnoses
*Explore abnormal findings
*Write a progress note explaining medical decision-making process (if unclear in H&P)
*Assure that aftercare instructions are specific and clear. Ensure follow up schedule is timely and available
*Confirm that patient understands and is comfortable with the plan

OVERALL: Complete a medically and legally defensible eval which is reflected in the documentation on the chart

==References==
<references/>
"Bouncebacks" (Weinstock, Longstreth)

[[Category:Misc/General]]