Readmission Rate to ICU: Difference between revisions

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{{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.

| ~~indicator_name~~ = ~~Readmission Rate to ICU~~

|created_raw=Created

| ~~created_raw~~ = ~~Created~~

|Program=Critical Care

| ~~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_start_date~~ =

|indicator_name=Readmission Rate to ICU

| ~~indicator_end_date~~ =

|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==

* [[QualityDomain::Safe]]

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===Exclusion Criteria===

* 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'

* Elective surgery

** Palliative in this context means at least one of the following is present:

** [[Admit Type for APACHE II]] is 'Elect.Surg'

*** based on ICD10 [[Palliative care]]

*** tmp [[Comfort Care]]

* AMA - see [[AMA]]

** AMA - see [[AMA]]

===Frequency===

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==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 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

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==Data Sources==

~~The following fields from L_Log table are being used~~

See infobox in top left

* [[Person_ID]]

* first [[Service tmp entry|ICU Service Start DtTm]] or [[Accept_DtTm field]] or [[Arrive DtTm field]]

* [[Dispo DtTm field]]

* [[Dispo field]]

* [[Admit Type for APACHE II]]

* the Project [[Comfort Care]] from L_TmpV2 table, diagnosis code [[Palliative Service]] from L_DXs table, ICD10 code Z51.5 [[Palliative care]] from L_ICD10 table

==SAS Program==

@@ Line 1: / Line 1: @@
 {{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.
-| indicator_name = Readmission Rate to ICU
+|created_raw=Created
-| created_raw = Created
+|Program=Critical Care
-| 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_start_date =
+|indicator_name=Readmission Rate to ICU
-| indicator_end_date =
+|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==
 * [[QualityDomain::Safe]]
@@ Line 26: / Line 27: @@
 ===Exclusion Criteria===
 * 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'
+* Elective surgery
-** Palliative in this context means at least one of the following is present:
+** [[Admit Type for APACHE II]] is 'Elect.Surg'
-*** based on ICD10 [[Palliative care]]
+{{palliative patient}}
-*** tmp [[Comfort Care]]
+* AMA - see [[AMA]]
-** AMA - see [[AMA]]
 ===Frequency===
@@ Line 38: / Line 38: @@
 ==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 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
@@ Line 57: / Line 56: @@
 ==Data Sources==
-The following fields from L_Log table  are being used
+See infobox in top left
-* [[Person_ID]]
-* first [[Service tmp entry|ICU Service Start DtTm]] or [[Accept_DtTm field]] or [[Arrive DtTm field]]
-* [[Dispo DtTm field]]
-* [[Dispo field]]
-* [[Admit Type for APACHE II]]
-* the Project [[Comfort Care]] from L_TmpV2 table,  diagnosis code [[Palliative Service]] from L_DXs table, ICD10 code Z51.5 [[Palliative care]] from L_ICD10 table
 ==SAS Program==