| Autor: |
Arkadiy Finn, Raza Naqvi, Vijairam Selvaraj, Kwame Dapaah-Afriyie |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Brown Journal of Hospital Medicine, Vol 1, Iss 2 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2831-5553 |
| DOI: |
10.26300/grhn-sa86 |
| Popis: |
**Background:** Rapid readmissions, occurring within 7 days of hospital discharge, are associated with significant morbidity and mortality. Objectives: Identify causes of rapid readmissions with a focus on clinical judgement errors and improve discharge practices. **Methods:** Records of 371 patients discharged from an inpatient medical service and readmitted within 7 days were reviewed. Causes for readmission were identified and classified into 10 categories, including diagnostic and/or therapeutic error leading to readmission. **Results:** Fifty percent of rapid readmissions were related to severity of underlying disease/failure to respond to treatment. Adherence challenges, patients with known high hospital utilization, and substance use disorder/uncontrolled psychiatric conditions accounted for 32.4% of 7-day readmissions. Readmissions related to clinical judgement accounted for 24 (6.5%) of the total readmissions. Clinical judgement errors were comprised of 6 diagnostic and 18 therapeutic errors, involving infections, diabetic medications and anticoagulation agents. **Conclusions:** Most rapid readmissions are related to the severity of the condition during the index hospitalization. Clinical judgement errors are a rare cause for rapid readmission and involve certain high-risk medications and symptoms which require a high degree of awareness from the discharging provider. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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