Readmission to MedWard: Difference between revisions
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==Data Sources== | ==Data Sources== | ||
The following fields from L_Log table - [[Accept_DtTm field]] or [[Arrive DtTm field]], [[Dispo DtTm field]], [[Dispo field]], the Project [[Comfort Care]] from L_TmpV2 table and diagnosis code [[Palliative Service]] from L_DXs table are used. | The following fields from L_Log table - [[Accept_DtTm field]] or [[Arrive DtTm field]], [[Dispo DtTm field]], [[Dispo field]], the Project [[Comfort Care]] from L_TmpV2 table and diagnosis code [[Palliative Service]] from L_DXs table, ICD10 code Z51.5 [[Palliative care]] from L_ICD10 table are used. | ||
==SAS Program== | ==SAS Program== |
Revision as of 15:42, 2019 July 26
Number of Ward readmission within 7 days per 100 discharges to hospital.
Indicators | |
Indicator: | Readmission Rate to Med ward |
Created/Raw: | Created |
Program: | Medicine |
Start Date: | |
End Date: | |
Reports: | Directors Quarterly and Annual Report (Medicine), Mortality and readmission report |
QI domain
- Safe
Reported as
Percent of total discharges to hospital
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 ward occupancy at the time of discharge. Readmission may reflect premature transfer out of hospital due to errors in clinical judgment or system constraints.
Sampling Plan / Procedure
Inclusion Criteria
100% of all ward patients discharged out of hospital
Exclusion Criteria
Excluding patients who left against medical advice (AMA), palliative patients in the count of readmission.
Frequency
Definition and Derivation
Number of Med ward readmission within 7 days per 100 discharges to hospital
Numerator
Num = Number of ward re-admission within 7 days after being discharged out
Denominator
Denom =Total Number of discharges who left the hospital (e.g. went home/nursing home, outside city, province or country)
Formula
Readmission Rate(%) = Num / Denom * 100
Example
- Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
- Total readmission within 7 days after discharge to hospital= 5
- Total discharges who left the hospital= 102
- Readmission Rate(%) = 5 / 102 * 100= 4.9 %
Data Sources
The following fields from L_Log table - Accept_DtTm field or Arrive DtTm field, Dispo DtTm field, Dispo field, the Project Comfort Care from L_TmpV2 table and diagnosis code Palliative Service from L_DXs table, ICD10 code Z51.5 Palliative care from L_ICD10 table are used.
SAS Program
X:\Julie\SAS_CFE\CFE_macros\medreadm.sas
Report Users
- Medicine Directors and Site Managers
- Medicine Standards Committee - Dr. Elizabeth Salamon