BACKGROUND Understanding the mechanism of unplanned hospital readmissions is necessary for accurate prediction and prevention. OBJECTIVE To identify specific mechanisms of unplanned readmissions through medical narratives obtained from chart reviews. DESIGN Retrospective chart review. SETTING Urban tertiary care hospital. PATIENTS Two hundred seventy patients accounted for 335 unplanned...

Stope with variable length is formed by change of mining face due to the irregular distribution geological rock pillars, which a typical representative complex coal seam mining. According geometric characteristics and mechanical boundaries each stage stope length, roof structure models four boundary conditions were established solved successively using small deflection thin plate bending theory...

Background: We used a database of patients treated at three hospitals to study the primary null hypothesis that thereare no factors associated with unplanned reoperations or adverse events after surgical repair for diaphyseal claviclefracture. Additionally we addressed the following secondary study questions: 1. What is the prevalence of unplannedreoperations or adverse events...

IMPORTANCE Financial penalties for readmission have been expanded beyond medical conditions to include surgical procedures. Hospitals are working to reduce readmissions; however, little is known about the reasons for surgical readmission. OBJECTIVE To characterize the reasons, timing, and factors associated with unplanned postoperative readmissions. DESIGN, SETTING, AND PARTICIPANTS Patient...

INTRODUCTION While the readmission rate from community hospitals is known, the factors affecting it are not. Our aim was to determine the factors predicting unplanned readmissions from community hospitals (CHs) to acute hospitals (AHs). MATERIALS AND METHODS This was an observational prospective cohort study, involving 842 patients requiring post-acute rehabilitation in 2 CHs admitted from 3 ...

BACKGROUND Unplanned postoperative reintubation increases the risk of mortality, but associated factors are unclear. OBJECTIVE To elucidate factors associated with increased mortality risk in patients with unplanned postoperative reintubation. DESIGN Retrospective study. Patients older than 40 years who underwent unplanned reintubation from 2005 to 2010 were identified using the American Co...

OBJECTIVES To quantify the risk of 30-day unplanned hospital readmission in adults aged 65 and older with depressive symptoms. DESIGN Prospective cohort study. SETTING University of Maryland Medical Center. PARTICIPANTS Individuals aged 65 and older admitted between July 1, 2011, and August 9, 2012, to the general medical and surgical units and followed for 31 days after hospital discharg...

BACKGROUND Reducing readmissions is a national priority, but many hospitals lack practical tools to identify patients at increased risk of unplanned readmission. OBJECTIVE To estimate the association between a composite measure of patient condition at discharge, the Rothman Index (RI), and unplanned readmission within 30 days of discharge. SUBJECTS Adult medical and surgical patients in a m...