In-patient hospital mental health services represent a fraction of the spectrum of services in place for those who seek treatment for a mental illness. It is often when the conditions of the illness become most severe that inpatient hospital services are sought. Hospitalization is an important means of stabilizing deteriorating psychiatric conditions, of re-establishing discontinued regimens of...

R eadmission after hospitalization for heart failure (HF) has received increasing attention due to the significant burden it places on patients and payers. Among Medicare beneficiaries, readmission within 30 days following heart failure hospitalization approaches 25%. Even after adjusting for case mix, significant variation in hospital readmission rates exists. This hospital-level variation sug...

OBJECTIVES The purpose of this study was to describe the characteristics and reasons for pediatric hospital medicine readmissions. We also aimed to describe characteristics of potentially preventable cases and the reliability of classification. METHODS Retrospective descriptive study from December 2008 through June 2010 in a large academic tertiary care children's hospital in Houston, Texas. ...

Mitigating preventable readmissions, where patients are readmitted for the same primary diagnosis within thirty days, is a significant challenge in delivery of high quality healthcare. Towards this end, it is imperative to understand the cause, risk propensity and timing associated with patient readmissions. We develop a patient profiling model that can predict the propensity of readmission for...

BACKGROUND Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) are two serious, preventable complications of diabetes mellitus. Analysis of variables associated with recurrent DKA and HHS admission has the potential to improve patient outcomes by identifying possible areas for intervention. The aim of this study was to evaluate potential predictors of recurrent DKA or HHS adm...

BACKGROUND It is estimated that 9.3% of the population in the United States have diabetes mellitus (DM), 28% of which are undiagnosed. The high prevalence of DM makes it a common comorbid condition in hospitalized patients. In recent years, government agencies and healthcare systems have increasingly focused on 30-day readmission rates to determine the complexity of their patient populations an...

objective: to evaluate the current scientific evidence for the applicability, safety and effectiveness of pathways of enhanced recovery after emergency surgery (eras). methods: we undertook a search using pubmed and cochrane databases for eras protocols in emergency cases. the search generated 65 titles; after eliminating the papers not meeting search criteria, we selected 4 cohort studies and ...

OBJECTIVES The Hospital Readmissions Reduction Program mandates reimbursement reductions to hospitals with higher than expected rates of readmissions. We examine causes and predictors of readmissions following major procedures in urologic oncology. MATERIALS AND METHODS Using the American College of Surgeons National Surgical Quality Improvement Program database, patients undergoing radical p...

BACKGROUND Various transmission routes contribute to spread of carbapenem-resistant Klebsiella pneumoniae (CRKP) in hospitalized patients. Patients with readmissions during which CRKP is again isolated ("CRKP readmission") potentially contribute to transmission of CRKP. OBJECTIVE To evaluate CRKP readmissions in the Consortium on Resistance against Carbapenems in K. pneumoniae (CRaCKLe). DE...

BACKGROUND Several studies have compared short-term and medium-term mortality rates for patients with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR), but no studies have compared short-term readmission rates for the 2 procedures. METHODS AND RESULTS New York's Cardiac Surgery Reporting System was used to propensity...