Readmission Rate to ICU: Difference between revisions
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{{Reporting Indicators | {{Reporting Indicators | ||
| description = Number of ICU readmission within 72 hours per 100 discharges to ward. | | 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 | | indicator_name = Readmission Rate to ICU | ||
| created_raw = Created | | created_raw = Created | ||
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==Reported as== | ==Reported as== | ||
Percent of total discharges to ward | * Definition1 : Percent of total discharges to ward | ||
* Definition2 : Percent of total discharges to ward, home and elsewhere | |||
==Significance== | ==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. | 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== | ==Sampling Plan / Procedure== | ||
===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
100% of all ICU patients discharged to ward | * Definition1 :100% of all ICU patients discharged to ward | ||
* Definition2 :100% of all ICU patients discharged to ward, home or elsewhere | |||
===Exclusion Criteria=== | ===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. | * 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 in the count of readmission. | |||
===Frequency=== | ===Frequency=== | ||
==Definition and Derivation== | ==Definition and Derivation== | ||
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 | |||
===Numerator=== | ===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=== | ===Denominator=== | ||
* Denom1 =Total Number of discharges who went to ward | |||
* Denom2 =Total Number of discharges who went to ward, home or elsewhere | |||
===Formula=== | ===Formula=== | ||
Readmission Rate(%) = Num / Denom * 100 | Readmission Rate(%) = Num / Denom * 100 | ||
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==Data Sources== | ==Data Sources== | ||
The following fields from L_Log table are being used | The following fields from L_Log table are being used | ||
* [[Person_ID]] | |||
* [[Accept_DtTm field]] or [[Arrive DtTm field]] | * [[Accept_DtTm field]] or [[Arrive DtTm field]] | ||
* [[Dispo DtTm field]] | * [[Dispo DtTm field]] | ||
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==SAS Program== | ==SAS Program== | ||
X:\Julie\SAS_CFE\CFE_macros\ | X:\Julie\SAS_CFE\CFE_macros\readmfromward.sas and/or CFE_macros\ccreadm.sas | ||
==Report Users== | ==Report Users== | ||
Revision as of 14:59, 2019 July 26
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 in the count of readmission.
Frequency
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
Duplication?
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|
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: |