Readmission Rate to ICU: Difference between revisions
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Ttenbergen (talk | contribs) m Ttenbergen moved page 72hr Readmission Rate to ICU to Readmission Rate to ICU without leaving a redirect: as per Julie's request |
Ttenbergen (talk | contribs) mNo edit summary |
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==Definition and Derivation== | ==Definition and Derivation== | ||
{{DJ | | |||
I moved the following here from [[Readmission]] to avoid duplication in two places. It should either be integrated or cleaned out: | |||
== ICU Definition == | |||
For ICU, a readmission is a patient where | |||
* (admit date/time) - (most recent ICU discharge date/time to ward or home) <= 48 hours | |||
{{Discuss | who = Julie | question = | |||
* that said 72 before... was it related to [[72hr Readmission Rate to ICU]]? If so I will change the name and wiki links but we need to also review that content is right. | |||
* will it be "...first [[Service tmp entry|ICU Service Start DtTm]]" instead of admit date/time going forward? | |||
}} | |||
* is '''not''' an [[Admit Type for APACHE II]] "elective surgery" | |||
* might be readmitted from Ward within or outside Winnipeg hospitals or home or nursing home | |||
** can also specify to include only from any ward within the region. | |||
}} | |||
* Definition1 : Number of ICU readmission within 72 hours per 100 discharges to ward | * 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 | * Definition2 : Number of ICU readmission within 72 hours per 100 discharges to ward, home or elsewhere | ||
Revision as of 16:33, 2021 July 13
Number of ICU readmission within 72 hours per 100 discharges to 1) ward only and 2) ward, home or elsewhere.
| Indicators | |
| Indicator: | Readmission Rate to ICU |
| Created/Raw: | Created |
| Program: | Critical Care |
| Start Date: | |
| End Date: | |
| Reports: | Critical Care Program Quality Indicator Report, HSC ICUs Data by Patient |
QI domain
- Safe
Reported as
- Definition1 : Percent of total discharges to ward
- Definition2 : Percent of total discharges to ward, home and elsewhere
Significance
Unplanned readmissions are associated with worse patient outcomes. Most factors associated with an increased risk of readmission are patient and admission-specific. System related risk factors include discharge at night and ICU occupancy at the time of discharge. Readmission may reflect premature transfer out of ICU due to errors in clinical judgment or system constraints.
Sampling Plan / Procedure
Inclusion Criteria
- Definition1 :100% of all ICU patients discharged to ward
- Definition2 :100% of all ICU patients discharged to ward, home or elsewhere
Exclusion Criteria
- Definition1 & 2 : Excluding patients with planned and scheduled surgery (e.g. Admit Type for APACHE II is not 'Elect.Surg' ) in the count of readmission.
- Definition2 : Excluding patients who left AMA or palliative in the count of readmission.
Frequency
Definition and Derivation
|
{{{1}}} |
- 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
- Num1 = Number of ICU readmission within 72 hours coming from ward
- Num2 = Number of ICU readmission within 72 hours coming from ward, home or elsewhere
Denominator
- Denom1 =Total Number of discharges who went to ward
- Denom2 =Total Number of discharges who went to ward, home or elsewhere
Formula
Readmission Rate(%) = Num / Denom * 100
Example
- Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
- Total readmission within 72 hours coming from ward= 5
- Total discharges who went to ward = 102
- Readmission Rate(%) = 5 / 102 * 100= 4.9 %
Data Sources
The following fields from L_Log table are being used
- Person_ID
- 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
X:\Julie\SAS_CFE\CFE_macros\readmfromward.sas and/or CFE_macros\ccreadm.sas
Report Users
- Critical Care Directors and Site Managers
- Critical Care Quality Improvement Team (QIT)
Related articles
| Related articles: |