Multiple Encounter

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Revision as of 10:36, 2008 May 28 by Ttenbergen (talk | contribs) (New page: Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qu...)
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Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report in <in which, monthly, quarterly, annual or all?>

Multiple Encounters

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Readmissions

For our purposes, readmissions are admissions of patients who were recorded by our database recently.

ICU Definition

For ICU, a readmission is a patient where

  • (admit date/time) - (most recent ICU discharge date/time) <= 72 hours
  • is not admitted for planned and scheduled surgery
  • might be readmitted from Ward or outside hospital

Discussion

  • why are we considering the most recent ICU discharge date/time only?Ttenbergen 11:36, 28 May 2008 (CDT)

Medicine Definition

For medicine, a readmission is a patient where

  • (admit date/time) - (most recent discharge date/time) <= 7 days after their most recent discharge time
  • is admitted from outside hospital
  • (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program <when?>)

Discussion

  • is the detection of med readmits for pts discharged from med previously only, or does it include pts who went home directly from ICU?


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