Readmission Rate to ICU: Difference between revisions
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==Data Sources== | ==Data Sources== | ||
the following fields from L_Log table are used - [[Accept_DtTm field]], [[Arrive DtTm field]], [[Dispo DtTm field]], [[Dispo field]], [[Admit Type for APACHE II]] | the following fields from L_Log table are being used - [[Accept_DtTm field]], [[Arrive DtTm field]], [[Dispo DtTm field]], [[Dispo field]], [[Admit Type for APACHE II]]. | ||
== Duplication? == | == Duplication? == | ||
Revision as of 14:31, 2017 August 23
Number of ICU readmission within 72 hours per 100 discharges to ward.
| 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
Percent of total discharges to ward
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
100% of all ICU patients discharged to ward
Exclusion Criteria
Excluding patients with planned and scheduled surgery (e.g. Admit Type for APACHE II is not 'Elect.Surg' ) in the count of readmission.
Frequency
Definition and Derivation
Number of ICU readmission within 72 hours per 100 discharges to ward
Numerator
Num = Number of ICU readmission within 72 hours coming from ward
Denominator
Denom =Total Number of discharges who went to ward
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 - Accept_DtTm field, Arrive DtTm field, Dispo DtTm field, Dispo field, Admit Type for APACHE II.
Duplication?
Template:Discussion Is this the same as Re-admission? Ttenbergen 12:03, 2017 July 5 (CDT)
- similar but specific with ICU. I will do a separate one for Med and delete the Re-admission after.
SAS Program
X:\Julie\SAS_CFE\CFE_macros\datetimes.sas
Report Users
- Critical Care Directors and Site Managers
- Critical Care Quality Improvement Team (QIT)