The Effects of Harm Events on 30-Day Readmission in Surgical Patients
| Autor: | Indra Adrianto, Jessica Haeusler, Ilan Rubinfeld, Jack Jordan, Pridvi Kandagatla, Wan-Ting K. Su |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Population MEDLINE Logistic regression Patient Readmission 03 medical and health sciences 0302 clinical medicine Risk Factors Medicine Humans 030212 general & internal medicine Registries education Retrospective Studies education.field_of_study Inpatients business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Retrospective cohort study Odds ratio Patient burden Harm Logistic Models ROC Curve Emergency medicine 0305 other medical science business Surgical patients |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 43(2) |
| ISSN: | 1945-1474 |
| Popis: | Readmission is an increasingly important focus for improvement regarding quality, value, and patient burden in our surgical patient population. We hypothesized that inpatient harm events increase the likelihood of readmission in surgical patients. We created a system-wide inpatient registry with 30-day readmission. A surgical subset was created, and harm events were tracked through the electronic health record system. Between 2015 and 2017, 37,048 surgical patient encounters met inclusion criterion. A total of 2,887 patients (7.69%) were readmitted. After multiple logistic regression of the highly significant harm measures, seven harm measures remained statistically significant (p < .05). Those with the three highest odds ratios were mucosal pressure ulcer, Clostridium difficile, and glucose |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|