The number of unplanned readmissions is an important quality improvement indicator for Australian hospitals, as it has a direct impact on costs and patient outcomes. It is a useful indicator for patient multi-morbidity to identify patients that should potentially have different treatment or discharge plans. The objective of the Health Insights Challenge project was to develop a predictive model...

Mitigating preventable readmissions, where patients are readmitted for the same primary diagnosis within thirty days, poses a significant challenge in the delivery of high quality healthcare. Toward this end, we seek to understand whether health information technologies (IT) can help lower readmission risks. We develop a novel, predictive readmission model, termed as the beta geometric Erlang-2...

Methods Exploratory descriptive study, developed in a governmental hospital of tertiary care in Minas Gerais (Brazil), from January 2008 to December 2009. Medical records and reports of control infection practitioner of 98 patients readmitted with SSI were reviewed and the data were analyzed in relation to gender, age, co morbidities, length of staying, surgery, specialty, type of procedures, w...

BACKGROUND Bladder reconstruction in the pediatric population is challenging for many reasons, including perioperative complications and readmissions. OBJECTIVES On a national scale, determine readmission rates at 30, 60 and 90 days after bladder reconstruction in a pediatric population over a 7-year period, evaluating the influence of hospital and patient-specific variables. PATIENTS AND M...

Identification of patients at high risk for readmission could help reduce morbidity and mortality as well as healthcare costs. Most of the existing studies on readmission prediction did not compare the contribution of data categories. In this study we analyzed relative contribution of 90,101 variables across 398,884 admission records corresponding to 163,468 patients, including patient demograp...

PURPOSE The aim of this study was to test whether patient medication adherence, a modifiable risk factor obtainable at hospital admission, predicts readmission within 30 days. PATIENTS AND METHODS We used a retrospective cohort study design to test whether patient medication adherence to all chronic medications, as determined by the 4-item Morisky Medication Adherence Scale (MMAS-4) administe...

OBJECTIVE To validate patient and nurse short forms for discharge readiness assessment and their associations with 30-day readmissions and emergency department (ED) visits. DATA SOURCES/STUDY SETTING A total of 254 adult medical-surgical patients and their discharging nurses from an Eastern US tertiary hospital between May and November, 2011. STUDY DESIGN Prospective longitudinal design, mu...

BACKGROUND AND PURPOSE Understanding the factors that contribute to early readmission after discharge following stroke is limited. We aimed to describe the factors associated with 28-day readmission after hospitalization for stroke. METHODS Factors associated with readmission were classified from the medical record standardized audits of 50 to 100 consecutively admitted patients with stroke f...

Background Although community-dwelling persons with dementia have an increased risk of hospital readmission, no systematic review has examined the contribution of dementia to readmissions. Summary We examined articles in English, with no restrictions on publication dates, from Medline, PubMed, PsycINFO, CINAHL, and EMBASE. Keywords used were dementia, Alzheimer disease, frontotemporal lobar d...