منابع مشابه
Optimizing ICU Discharge Decisions with Patient Readmissions
This work examines the impact of discharge decisions under uncertainty in a capacity-constrained high risk setting: the intensive care unit (ICU). New arrivals to an ICU are typically very high priority patients and, should the ICU be full upon their arrival, discharging a patient currently residing in the ICU may be required to accommodate a newly admitted patient. Patients so discharged risk ...
متن کاملVariation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices
BACKGROUND Variation in intensive care unit (ICU) readmissions and in-hospital mortality after ICU discharge may indicate potential for improvement and could be explained by ICU discharge practices. Our objective was threefold: (1) describe variation in rates of ICU readmissions within 48 h and post-ICU in-hospital mortality, (2) describe ICU discharge practices in Dutch hospitals, and (3) stud...
متن کاملImpact of a Respiratory Therapy Assess-and-Treat Protocol on Adult Cardiothoracic ICU Readmissions.
BACKGROUND The purpose of this retrospective medical record review was to report on recidivism to the ICU among adult postoperative cardiac and thoracic patients managed with a respiratory therapy assess-and-treat (RTAT) protocol. Our primary null hypothesis was that there would be no difference in all-cause unexpected readmissions and escalations between the RTAT group and the physician-ordere...
متن کاملReadmissions and deaths following ICU discharge - a challenge for intensive care
OBJECTIVES Identify patients at risk for intensive care unit readmission, the reasons for and rates of readmission, and mortality after their stay in the intensive care unit; describe the sensitivity and specificity of the Stability and Workload Index for Transfer scale as a criterion for discharge from the intensive care unit. METHODS Adult, critical patients from intensive care units from t...
متن کاملReadmissions and Death after ICU Discharge: Development and Validation of Two Predictive Models
INTRODUCTION Early discharge from the ICU is desirable because it shortens time in the ICU and reduces care costs, but can also increase the likelihood of ICU readmission and post-discharge unanticipated death if patients are discharged before they are stable. We postulated that, using eICU® Research Institute (eRI) data from >400 ICUs, we could develop robust models predictive of post-discharg...
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ژورنال
عنوان ژورنال: Critical Care Medicine
سال: 2016
ISSN: 0090-3493
DOI: 10.1097/ccm.0000000000001809