Potentially preventable readmissions - narrowing identification of patients at risk of unplanned readmission
نویسندگان
چکیده
Introduction This aim of this study is to narrow patients truly at risk for avoidable readmissions, excluding the ones who are identified as planned readmissions. The Belgian administrative dataset contains additional information not collected in the USA dataset, namely the ‘planned’ versus ‘unplanned’ admission status. Using this flag allows us to identify readmissions that are probably not avoidable, because they are medically justified (e.g., cholecystectomies delayed for anti-biotherapy), and to excluded them from calculation of potentially preventable readmissions (PPR).
منابع مشابه
Unplanned readmissions after hospital discharge among patients identified as being at high risk for readmission using a validated predictive algorithm
BACKGROUND Unplanned hospital readmissions are common, expensive and often preventable. Strategies designed to reduce readmissions should target patients at high risk. The purpose of this study was to describe medical patients identified using a recently published and validated algorithm (the LACE index) as being at high risk for readmission and to examine their actual hospital readmission rate...
متن کاملMeasuring and preventing potentially avoidable hospital readmissions: a review of the literature.
OBJECTIVE To review literature identifying key components for measuring avoidable readmissions, their prevalence, risk factors, and interventions that can reduce potentially avoidable readmissions. DATA SOURCES AND EXTRACTION Literature search using Medline, PubMed and the Cochrane Library up to June 2010, using the terms "avoidable", "preventable", "unplanned", "unnecessary", "readmission", ...
متن کاملPotentially Preventable 30-Day Hospital Readmissions at a Children's Hospital.
BACKGROUND AND OBJECTIVES Hospital readmission rates are increasingly used to assess quality. Little is known, however, about potential preventability of readmissions among children. Our objective was to evaluate potential preventability of 30-day readmissions using medical record review and interviews. METHODS A cross-sectional study in 305 children (<18 years old) readmitted within 30 days ...
متن کاملPatients undergoing total laryngectomy: an at-risk population for 30-day unplanned readmission.
IMPORTANCE Patients undergoing total laryngectomy are at high risk for hospital readmission. Hospital readmissions are increasingly scrutinized because they are used as a metric of quality care and are subject to financial penalties. OBJECTIVE To determine the rate of, reasons for, and risk factors that predict 30-day unplanned readmission for patients undergoing total laryngectomy. DESIGN,...
متن کاملManual and automated methods for identifying potentially preventable readmissions: a comparison in a large healthcare system
BACKGROUND Identification of potentially preventable readmissions is typically accomplished through manual review or automated classification. Little is known about the concordance of these methods. METHODS We manually reviewed 459 30-day, all-cause readmissions at 18 Kaiser Permanente Northern California hospitals, determining potential preventability through a four-step manual review proces...
متن کامل