BACKGROUND It is unclear if the 30-day unplanned hospital readmission rate is a plausible accountability metric. OBJECTIVE Compare preventability of hospital readmissions, between an early period [0-7 days post-discharge] and a late period [8-30 days post-discharge]. Compare causes of readmission, and frequency of markers of clinical instability 24h prior to discharge between early and late r...

INTRODUCTION The purpose of this project was to evaluate the effectiveness of postdischarge phone calls on 30-day preventable readmission rates within the pediatric hospital setting. Because the unit of care identified was patients and their families, a patient- and family-centered care approach was used. METHOD The project used an exploratory design and was conducted at a 154-bed pediatric h...

This paper introduces the SafeHome Simulator system, a set of immersive Virtual Reality Training tools and display systems to train patients in safe discharge procedures in captured environments of their actual houses. The aim is to lower patient readmission by significantly improving discharge planning and training. The SafeHOME Simulator is a project currently under review.

background hospital readmission places a high burden on both health care systems and patients. most readmissions are thought to be related to the quality of the health care system. objectives the aim of this study was to examine the causes and rates of early readmission in emergency department in a tehran hospital. patients and methods a cross-sectional investigation was performed to study read...

OBJECTIVE The objective of this study is to describe the trends and characteristics of short-term and frequent representations to EDs in New South Wales, Australia. METHODS This was a retrospective analysis of a linked population-based registry of ED representations in New South Wales, conducted as part of the Demand for Emergency Services in Years 2010-2014 project. Trend analysis of unplann...

Advances in research on patient outcomes and greater availability of detailed standardized administrative data on healthcare outcomes, particularly for patients admitted to hospital, enable examination of the performance of providers and health systems from new perspectives. In a linked paper, Tsugawa and colleagues (doi:10.1136/bmj.j1797) devised a creative research design to exploit these res...

OBJECTIVES The objective of this study was to evaluate an interhospital collaborative approach to improve 7-day post-discharge follow-up (7dFU) rates and reduce 30-day readmissions in heart failure (HF) patients. BACKGROUND Early post-discharge follow-up after HF hospitalization is associated with lower 30-day readmission rates. METHODS Observational analyses of Medicare HF patients dischar...

BACKGROUND Readmission after acute myocardial infarction (AMI) has been targeted for public reporting because it is a common, costly, and often preventable outcome. To assist in ongoing efforts to risk-stratify patients and profile hospitals through public reporting of performance measures, we conducted a systematic review to identify models designed to compare hospital rates of readmission or ...

BACKGROUND Readmission after heart failure (HF) hospitalization is an increasing focus for physicians and policy makers, but statistical models are needed to assess patient risk and to compare hospital performance. We performed a systematic review to describe models designed to compare hospital rates of readmission or to predict patients' risk of readmission, as well as to identify studies eval...

BACKGROUND AND PURPOSE Risk-standardized hospital readmission rates are used as publicly reported measures reflecting quality of care. Valid risk-standardized models adjust for differences in patient-level factors across hospitals. We conducted a systematic review of peer-reviewed literature to identify models that compare hospital-level poststroke readmission rates, evaluate patient-level risk...