Erschienen in:
18.07.2018 | Concise Research Reports
Ward Capacity Strain: A Novel Predictor of 30-Day Hospital Readmissions
verfasst von:
Rachel Kohn, MD, MSCE, Michael O. Harhay, PhD, Brian Bayes, MS, Mark E. Mikkelsen, MD, MSCE, Sarah J. Ratcliffe, PhD, Scott D. Halpern, MD, PhD, Meeta Prasad Kerlin, MD, MSCE
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 11/2018
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Excerpt
The Centers for Medicare and Medicaid Services’ Hospital Readmissions Reduction Program penalizes hospitals for excess 30-day hospital readmissions.
1 Readmission reduction efforts have focused on patient-level factors. Whether organizational factors contribute to readmission risk is largely unknown. Intensive care unit (ICU) survivors are particularly at risk for hospital readmissions.
2, 3 ICU capacity strain, when demand for ICU resources exceeds availability, is associated with short-term ICU patient outcomes.
4, 5 However, most ICU survivors are transferred to general wards prior to hospital discharge and are therefore subjected to ward-level exposures that could impact readmission risk. …
