Readmission Rate to ICU: Difference between revisions
Ttenbergen (talk | contribs) |
No edit summary |
||
| Line 7: | Line 7: | ||
| indicator_end_date = | | indicator_end_date = | ||
}} | }} | ||
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== | ||
* [[QualityDomain::Safe]] | * [[QualityDomain::Safe]] | ||
| Line 72: | Line 72: | ||
==SAS Program== | ==SAS Program== | ||
S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ccreadm_starting1Oct2020.sas | |||
==Report Users== | ==Report Users== | ||
Revision as of 15:29, 2021 December 10
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 |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital.
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
We report these in two ways:
- 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 in the count of readmission.
- Definition2 : Excluding patients who left AMA or palliative in the count of readmission.
- Elective surgery
- Admit Type for APACHE II is 'Elect.Surg'
- Palliative in this context means at least one of the following is present:
- based on ICD10 Palliative care
- tmp Comfort Care
- AMA - see AMA
- Elective surgery
Frequency
All the time
Definition and Derivation
|
|
|
|
|
- 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
S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ccreadm_starting1Oct2020.sas
Report Users
- Critical Care Directors and Site Managers
- Critical Care Quality Improvement Team (QIT)
Related articles
| Related articles: |