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再入院



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  • Hospital Readmissions as a Measure of Quality of Health Care
    The results indicated that both intervention hospitals and 1 control hospital had lower 30-day readmission rates after the intervention than before 5 The remaining 4 studies detected either no differences in readmissions between control and intervention patients 19,20,64 or even higher readmission rates in the intervention group 30
  • Private-Sector Readmissions for Inpatient Surgery in Veterans Health . . .
    Readmission is a high-priority performance metric that is the focus of national efforts to improve quality of care through public reporting, 26,27 financial incentives, 9 and oversight 28 The increasing use of non-VHA services impacts VHA hospital performance metrics in 2 ways First, excluding non-VHA services can introduce bias into measures
  • Readmission Diagnoses After Sepsis and Other Conditions
    Patients are frequently rehospitalized within 90 days after having severe sepsis 1 Little is known, however, about the reasons for readmission and whether they can be reduced We sought to determine the most common readmission diagnoses after hospitalization for severe sepsis, the extent to which
  • Trends in Readmission and Mortality Rates Following Heart Failure . . .
    During the past decade, concurrent with CMS efforts to improve value of care through readmission reduction, the VAHCS pursued efforts including improving adherence to recommended care processes, improving care transitions and public reporting, and incorporating readmission rates into the overall hospital star rating 9 We sought to evaluate
  • A Decade Later, Lessons Learned From the Hospital Readmission . . .
    The Hospital Readmissions Reduction Program (HRRP) was established as part of the Patient Protection and Affordable Care Act in 2010 in response to reports that readmissions were common, costly, and potentially preventable 1 The policy established financial penalties for hospitals with higher-than-expected readmission rates and initially
  • Readmission Information Sharing and Discharge Destination Among Older . . .
    For older adults with and without Alzheimer disease, compared with readmission at the same hospital, a fragmented readmission was associated with higher odds of discharge to an SNF by 6% to 10%, lower odds of discharge home with home health and to hospice by 22% to 26% and 5% to 14%, respectively, and higher odds of leaving against medical
  • The HOSPITAL Score and Hospital Readmissions - JAMA Network
    Of all medical discharges, 16 992 of 117 065 (14 5%) were followed by a 30-day readmission, and 11 307 (9 7%) were followed by a 30-day potentially avoidable readmission The discriminatory power of the HOSPITAL score to predict potentially avoidable readmission was good, with a C statistic of 0 72 (95% CI, 0 72-0 72)
  • Underlying Reasons Associated With Hospital Readmission Following . . .
    Readmission rates and reasons (ascertained by clinical data abstractors at each hospital) were assessed for all surgical procedures and for 6 representative operations: bariatric procedures, colectomy or proctectomy, hysterectomy, total hip or knee arthroplasty, ventral hernia repair, and lower extremity vascular bypass
  • Blood Pressure, Readmission, and Mortality Among Patients Hospitalized . . .
    Figure 2B shows the projected rates of hospital readmission at each time point and shows that patients with SBP of 160 mm Hg or greater had the lowest projected readmission rate initially, but the highest rate at every time point after approximately the 6-month mark Monthly absolute readmission rates are shown in eFigure 2 in Supplement 1
  • Citation - JAMA Network
    The simplified HOSPITAL score (0-3: readmission unlikely; 4 or more: readmission likely) is an internationally validated clinical prognostic model that accurately predicts unplanned readmission after hospital discharge 11,12 It uses 6 variables readily available at discharge (eTable 1 in Supplement 2) We excluded patients previously enrolled





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