Patient absconding behaviour in a public general hospital: retrospective study.
OBJECTIVE
To identify characteristics of patients who abscond from general hospital wards, and to determine patient outcomes.


METHODS
Retrospective study.


METHODS
In-patient wards of a public general hospital, Hong Kong.


METHODS
Incident reports of 116 absconding episodes over a 20-month period from 1 November 1998 to 30 June 2000 were reviewed. Clinical characteristics, time and reason for absconding, destination of patient, outcomes, and adverse events were recorded.


RESULTS
The majority of patients who absconded were middle-aged males admitted through the Accident and Emergency Department to the specialty of general medicine. Most incidences occurred within 24 hours of admission while in the emergency admission wards. Twelve percent of incidents were repeated episodes of absconding. The most common clinical diagnoses given to this patient group were drug overdose, intoxication, and soft tissue injury. Known drug addicts (29.3%) formed a substantial proportion of the patient group. Forty- seven patients returned to the ward within a few hours, while a further nine (7.8%) re-attended the Accident and Emergency Department of the hospital within 4 days. Several adverse outcomes were recorded: one patient died following a fall from height and two patients committed criminal offences.


CONCLUSIONS
Patient absconding incidents are an important issue in hospital risk management. They can delay the delivery of appropriate medical treatment and may lead to other adverse patient outcomes, in addition to potential medicolegal consequences.
Cheng
S T
ST
Accident and Emergency Department, North District Hospital, Po Kin Road, Sheung Shui, Hong Kong.
Chung
C H
CH
Leung
Y H
YH
Lai
K K
KK
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006723:Hong Kong / Q000453:epidemiology; D006769:Hospitals, General / Q000706:statistics & numerical data*; D006779:Hospitals, Public / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012308:Risk Management; D016312:Treatment Refusal / Q000706:statistics & numerical data*