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Tips to combat the growing issue of denied stays

Scenario: A hospital transfers a patient in semiurgent status to a second hospital. The second hospital admits him to its observation ward. After the first two days, staff decide that he needs a pacemaker, so he undergoes surgery. He spends a total of four days in the second hospital. Unfortunately, the second hospital never changed the patient's status to inpatient. This scenario occurred over a holiday weekend, which added to the confusion and inappropriate assignment.