Aims To create a profile of emergency readmissions to the Department of Surgery, Victoria Hospital, Blackpool (June-July 2010) encompassing the following profile elements: Patient demographics, source of admission, surgical specialty involved in patient care, duration of hospital stay during admissions, gap between discharge and readmission, reason for readmission, surgical procedure and invest...

BACKGROUND Patients who leave hospital against medical advice (AMA) may be at risk of adverse health outcomes and readmission. In this study we examined rates of readmission and predictors of readmission among patients leaving hospital AMA. METHODS We prospectively studied 97 consecutive patients who left the general medicine service of an urban teaching hospital AMA. Each patient was matched...

BACKGROUND Management of inpatients with inflammatory bowel disease (IBD) requires increasing resources. We aimed to identify factors associated with hospital readmissions among individuals with IBD. MATERIALS & METHODS We collected data from the Healthcare Cost and Utilization Project Nationwide Readmissions Database 2013. We identified individuals with index hospitalizations for IBD. Patien...

OBJECTIVES To determine whether hospitals where patients report higher overall satisfaction with their interactions among the hospital and staff and specifically their experience with the discharge process are more likely to have lower 30-day readmission rates after adjustment for hospital clinical performance. STUDY DESIGN Among patients 18 years or older, an observational analysis was condu...

Objective: In an era of controlling cost and improving care, 30-day readmission rates have become an important quality measure. The purpose of this study was to identify the rates of 30-day unplanned readmission and the associated risk factors in patients undergoing outpatient hand surgery. Methods: The 2011-2014 National Surgical Quality Improvement Project data were queried for patients who m...

BACKGROUND Thirty-day readmission rates after acute myocardial infarction (AMI) and heart failure are important patient outcome metrics. Early post-discharge physician follow-up has been promoted as a method of reducing 30-day readmission rates. However, the relationships between early post-discharge follow-up and 30-day readmission for AMI and heart failure are inconclusive. We used nationwide...

BACKGROUND Hospitalisation for heart failure is common and post-discharge outcomes, including readmission and mortality, are often poor and are poorly understood. The purpose of this study was to examine patient- and hospital-level variation in the risk of 30-day unplanned readmission and mortality following discharge from hospital with a diagnosis of heart failure. METHODS Prospective cohort...

BACKGROUND Physician collaboration, which evolves among physicians during the course of providing healthcare services to hospitalised patients, has been seen crucial to effective patient outcomes in healthcare organisations and hospitals. This study aims to explore physician collaborations using measures of social network analysis (SNA) and exponential random graph (ERG) model. METHODS Based ...

OBJECTIVES This article examines the association between readmissions of pneumonia and acute myocardial infarction (AMI) patients to Ontario hospitals in 1998/99, and reductions in length of stay and recent hospital administrative mergers. DATA SOURCE The data are from the 1998/99 Discharge Abstract Database, maintained by the Canadian Institute for Health Information. ANALYTICAL TECHNIQUES...

This position paper investigates the problem of 30-day readmission risk prediction and management for Congestive Heart Failure (CHF), which has been identified as one of the leading causes of hospitalization, especially for adults older than 65 years. The underlying solution is deeply related to using predictive analytics to compute the readmission risk score of a patient, and investigating res...