{"id":"https://openalex.org/W3040487608","doi":"https://doi.org/10.1016/j.amjmed.2020.05.024","title":"Getting Unstuck: Challenges and Opportunities in Caring for Patients Experiencing Prolonged Hospitalization While Stable for Discharge","display_name":"Getting Unstuck: Challenges and Opportunities in Caring for Patients Experiencing Prolonged Hospitalization While Stable for Discharge","publication_year":2020,"publication_date":"2020-06-30","ids":{"openalex":"https://openalex.org/W3040487608","doi":"https://doi.org/10.1016/j.amjmed.2020.05.024","mag":"3040487608","pmid":"https://pubmed.ncbi.nlm.nih.gov/32619432","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7324918"},"language":"en","primary_location":{"id":"doi:10.1016/j.amjmed.2020.05.024","doi":"https://doi.org/10.1016/j.amjmed.2020.05.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.amjmed.2020.05.024","pdf_url":"http://www.amjmed.com/article/S0002934320305222/pdf","source":{"id":"https://openalex.org/S186920367","display_name":"The American Journal of Medicine","issn_l":"0002-9343","issn":["0002-9343","1555-7162"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"http://www.amjmed.com/article/S0002934320305222/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075362521","display_name":"Nicholas Meo","orcid":"https://orcid.org/0000-0001-6892-5112","observed_orcids":["https://orcid.org/0000-0001-6892-5112"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I2802336062","display_name":"Harborview Medical Center","ror":"https://ror.org/059jq5127","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801852214","https://openalex.org/I2802336062"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nicholas Meo","raw_affiliation_strings":["School of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash. Electronic address: nmeo@uw.edu","Department of Medicine, Harborview Medical Center, Seattle, Wash","School of Medicine, Department of Medicine, University of Washington, Seattle"],"raw_orcid":"https://orcid.org/0000-0001-6892-5112","affiliations":[{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash. Electronic address: nmeo@uw.edu","institution_ids":["https://openalex.org/I201448701","https://openalex.org/I2802336062"]},{"raw_affiliation_string":"Department of Medicine, Harborview Medical Center, Seattle, Wash","institution_ids":["https://openalex.org/I2802336062"]},{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061109493","display_name":"Maralyssa A. Bann","orcid":"https://orcid.org/0000-0002-5893-950X","observed_orcids":["https://orcid.org/0000-0002-5893-950X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I2802336062","display_name":"Harborview Medical Center","ror":"https://ror.org/059jq5127","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2801852214","https://openalex.org/I2802336062"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Maralyssa Bann","raw_affiliation_strings":["School of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash","Department of Medicine, Harborview Medical Center, Seattle, Wash","School of Medicine, Department of Medicine, University of Washington, Seattle"],"raw_orcid":"https://orcid.org/0000-0002-5893-950X","affiliations":[{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle; Department of Medicine, Harborview Medical Center, Seattle, Wash","institution_ids":["https://openalex.org/I201448701","https://openalex.org/I2802336062"]},{"raw_affiliation_string":"Department of Medicine, Harborview Medical Center, Seattle, Wash","institution_ids":["https://openalex.org/I2802336062"]},{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070801969","display_name":"M. Macias Sanchez","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mala Sanchez","raw_affiliation_strings":["School of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","School of Medicine, Department of Medicine, University of Washington, Seattle"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I201448701","https://openalex.org/I4210094549"]},{"raw_affiliation_string":"Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I4210094549"]},{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050865687","display_name":"Ashok Reddy","orcid":"https://orcid.org/0000-0001-5238-629X","observed_orcids":["https://orcid.org/0000-0001-5238-629X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210089489","display_name":"Health Services Research & Development","ror":"https://ror.org/0083hz885","country_code":"US","type":"facility","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210089489"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ashok Reddy","raw_affiliation_strings":["School of Medicine, Department of Medicine, University of Washington, Seattle; Northwest HSR&D Center of Excellence, VA Puget Sound Healthcare System, Seattle, Wash; General Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","General Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","Northwest HSR&D Center of Excellence, VA Puget Sound Healthcare System, Seattle, Wash","School of Medicine, Department of Medicine, University of Washington, Seattle"],"raw_orcid":"https://orcid.org/0000-0001-5238-629X","affiliations":[{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle; Northwest HSR&D Center of Excellence, VA Puget Sound Healthcare System, Seattle, Wash; General Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I201448701","https://openalex.org/I4210094549"]},{"raw_affiliation_string":"General Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I4210094549"]},{"raw_affiliation_string":"Northwest HSR&D Center of Excellence, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I4210089489","https://openalex.org/I4210094549"]},{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5074113432","display_name":"Paul B. Cornia","orcid":"https://orcid.org/0000-0002-4949-9637","observed_orcids":["https://orcid.org/0000-0002-4949-9637"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4210094549","display_name":"VA Puget Sound Health Care System","ror":"https://ror.org/00ky3az31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210094549","https://openalex.org/I4210138024"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul B. Cornia","raw_affiliation_strings":["School of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","School of Medicine, Department of Medicine, University of Washington, Seattle"],"raw_orcid":"https://orcid.org/0000-0002-4949-9637","affiliations":[{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle; Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I201448701","https://openalex.org/I4210094549"]},{"raw_affiliation_string":"Hospital and Specialty Medicine Service, VA Puget Sound Healthcare System, Seattle, Wash","institution_ids":["https://openalex.org/I4210094549"]},{"raw_affiliation_string":"School of Medicine, Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5075362521"],"corresponding_institution_ids":["https://openalex.org/I201448701","https://openalex.org/I2802336062"],"apc_list":{"value":3950,"currency":"USD","value_usd":3950},"apc_paid":null,"fwci":4.2693,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.93747829,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"133","issue":"12","first_page":"1406","last_page":"1410"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.38530001044273376,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12174","display_name":"Hospital Admissions and Outcomes","score":0.38530001044273376,"subfield":{"id":"https://openalex.org/subfields/2911","display_name":"Leadership and Management"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.19779999554157257,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.17919999361038208,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prolonged-hospitalization","display_name":"prolonged hospital stay","score":0.9539999961853027},{"id":"https://openalex.org/keywords/quadruple-aim","display_name":"Quadruple Aim","score":0.8389999866485596},{"id":"https://openalex.org/keywords/value-of-care","display_name":"value of care","score":0.7979999780654907},{"id":"https://openalex.org/keywords/hospital-discharge","display_name":"hospital discharge","score":0.41600000858306885},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.9290000200271606},{"id":"https://openalex.org/keywords/healthcare-transformation","display_name":"healthcare transformation","score":0.5830000042915344}],"concepts":[{"id":"https://openalex.org/C2777363581","wikidata":"https://www.wikidata.org/wiki/Q15098235","display_name":"Harm","level":2,"score":0.76186203956604},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5920777320861816},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5526986122131348},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.542270839214325},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5027964115142822},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.43178704380989075},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4149796664714813},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.23864391446113586},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007297","descriptor_name":"Inpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010351","descriptor_name":"Patient Discharge","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011787","descriptor_name":"Quality of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.amjmed.2020.05.024","doi":"https://doi.org/10.1016/j.amjmed.2020.05.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.amjmed.2020.05.024","pdf_url":"http://www.amjmed.com/article/S0002934320305222/pdf","source":{"id":"https://openalex.org/S186920367","display_name":"The American Journal of Medicine","issn_l":"0002-9343","issn":["0002-9343","1555-7162"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7324918","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7324918","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Am J Med","raw_type":"Text"},{"id":"pmid:32619432","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32619432","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of medicine","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.amjmed.2020.05.024","doi":"https://doi.org/10.1016/j.amjmed.2020.05.024","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.amjmed.2020.05.024","pdf_url":"http://www.amjmed.com/article/S0002934320305222/pdf","source":{"id":"https://openalex.org/S186920367","display_name":"The American Journal of Medicine","issn_l":"0002-9343","issn":["0002-9343","1555-7162"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3040487608.pdf","grobid_xml":"https://content.openalex.org/works/W3040487608.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W24853418","https://openalex.org/W1476525165","https://openalex.org/W1965251647","https://openalex.org/W1967582146","https://openalex.org/W2000558577","https://openalex.org/W2004687106","https://openalex.org/W2017524532","https://openalex.org/W2019909179","https://openalex.org/W2029464543","https://openalex.org/W2031989522","https://openalex.org/W2042705854","https://openalex.org/W2095196265","https://openalex.org/W2103520547","https://openalex.org/W2104147440","https://openalex.org/W2133786042","https://openalex.org/W2137247353","https://openalex.org/W2160347087","https://openalex.org/W2161424516","https://openalex.org/W2164510796","https://openalex.org/W2318126799","https://openalex.org/W2410216839","https://openalex.org/W2413943236","https://openalex.org/W2468046119","https://openalex.org/W2519513735","https://openalex.org/W2530453875","https://openalex.org/W2550442068","https://openalex.org/W2561905483","https://openalex.org/W2608397547","https://openalex.org/W2619817575","https://openalex.org/W2753964613","https://openalex.org/W2771561727","https://openalex.org/W2799364448","https://openalex.org/W2883598333","https://openalex.org/W2892331984","https://openalex.org/W2897477480","https://openalex.org/W2902580202","https://openalex.org/W2916375457","https://openalex.org/W2942802682","https://openalex.org/W2946486063","https://openalex.org/W2954532322","https://openalex.org/W2956081734","https://openalex.org/W2995850824","https://openalex.org/W3009344988"],"related_works":["https://openalex.org/W3202071124","https://openalex.org/W4327896623","https://openalex.org/W7165055190","https://openalex.org/W4409767734","https://openalex.org/W2942802682","https://openalex.org/W2507268650","https://openalex.org/W2390132245","https://openalex.org/W2381204612","https://openalex.org/W4383621196","https://openalex.org/W2395216727"],"abstract_inverted_index":null,"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":4},{"year":2022,"cited_by_count":6},{"year":2021,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-07-10T00:00:00"}