Readmission Rate to ICU: Difference between revisions
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{{Reporting Indicators | {{Reporting Indicators | ||
| description = Number of ICU readmission within 72 hours per 100 discharges to 1) ward only and 2) ward, home or elsewhere. | |description=Number of ICU readmission within 72 hours per 100 discharges to 1) ward only and 2) ward, home or elsewhere. | ||
| | |created_raw=Created | ||
| | |Program=Critical Care | ||
| | |DataDependencies=Palliative care; Palliative Service; Palliative patient; Comfort Care; AMA; Admit Type for APACHE II; Dispo; Dispo DtTm; Admit date and time; Person ID field | ||
| | |indicator_name=Readmission Rate to ICU | ||
| | |program=Critical Care | ||
}} | }} | ||
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital. | |||
==QI domain== | ==QI domain== | ||
| Line 26: | Line 27: | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
* Definition1 & 2 : Excluding patients with planned and scheduled surgery in the count of readmission. | * Definition1 & 2 : Excluding patients with planned and scheduled surgery in the count of readmission. | ||
* Definition2 : Excluding patients who left [[AMA]] or palliative in the count of readmission. | * Definition2 : Excluding patients who left [[AMA]] or [[palliative patient]]s in the count of readmission. | ||
* Elective surgery | |||
** [[Admit Type for APACHE II]] is 'Elect.Surg' | |||
{{palliative patient}} | |||
* AMA - see [[AMA]] | |||
===Frequency=== | ===Frequency=== | ||
Monthly, quarterly or yearly based on either admission dates or discharge dates | |||
==Definition and Derivation== | ==Definition and Derivation== | ||
Readmission means the patient left/discharged out of ICU to '''elsewhere''' and came back to ICU in the same or different facility from '''elsewhere'''. Readmission count is accounted to the unit discharging the patient the first time and not to the unit admitting the patient the second time. | |||
* Definition1 : Number of ICU readmission within 72 hours per 100 discharges to any ward | |||
* Definition2 : Number of ICU readmission within 72 hours per 100 discharges to any ward, home or elsewhere | |||
* Definition1 : Number of ICU readmission within 72 hours per 100 discharges to ward | |||
* Definition2 : Number of ICU readmission within 72 hours per 100 discharges to ward, home or elsewhere | |||
===Numerator=== | ===Numerator=== | ||
* Num1 = Number of ICU | * Num1 = Number of ICU patients discharged to any ward and readmitted to any ICU within 72 hours coming from elsewhere | ||
* Num2 = Number of ICU | * Num2 = Number of ICU patients discharged to any ward, home or elsewhere and readmitted to any ICU within 72 hours coming from elsewhere | ||
===Denominator=== | ===Denominator=== | ||
* Denom1 =Total Number of discharges who went to ward | * Denom1 =Total Number of discharges who went to any ward | ||
* Denom2 =Total Number of discharges who went to ward, home or elsewhere | * Denom2 =Total Number of discharges who went to any ward, home or elsewhere | ||
===Formula=== | ===Formula=== | ||
Readmission Rate(%) = Num / Denom * 100 | Readmission Rate(%) = Num / Denom * 100 | ||
===Example=== | ===Example=== | ||
*Time Reference: [[Discharge Date]]s from Jan 1, 2017 to March 31, 2017 | *Time Reference: [[Discharge Date]]s from Jan 1, 2017 to March 31, 2017 | ||
*Total readmission within 72 hours | *Total readmission within 72 hours of patients previously discharged to any ward= 5 | ||
*Total discharges who went to ward = 102 | *Total discharges who went to ward = 102 | ||
*Readmission Rate(%) = 5 / 102 * 100= 4.9 % | *Readmission Rate(%) = 5 / 102 * 100= 4.9 % | ||
==Data Sources== | ==Data Sources== | ||
See infobox in top left | |||
==SAS Program== | ==SAS Program== | ||
S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ccreadm_starting1Oct2020.sas | |||
==Report Users== | ==Report Users== | ||