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Preventing Preventable Readmissions
Important patient safety issues in hospitals
Wrong-Site Surgery Hand hygiene Hospital-Acquired
Infections
Surgical site infections
Hospital-acquired pneumonia
Catheter-related bloodstream
infections
Hospital readmissions
Falls (inpatient)
Diagnostic Errors
Medication Errors
What is hospital readmission?
Preventable
•Defined as subsequent inpatient admission to any acute care facility which occurs within 30 days of the discharge date of
previous admission.
Non-preventable
•A planned (intentional) readmission that is a scheduled part of the
patient’s plan.
How big is the problem!!Readmission rates
According to UptoDate:
There were over 39 million hospital discharges in the United States in 2006.
Almost 20 percent who are discharged from a hospital are readmitted within 30 days.
While the exact number of avoidable readmissions is unknown, between 9 and
50 percent of readmissions were judged to be preventable in studies involving retrospective chart review.
Causes of preventable readmissions
Hospital- related
Management- related
Patient- related
•Poor use of health information technology (e.g., electronic health records and patient registries).
•Poor post-discharge services.•Complications following procedures.
•Inadequate medical management.•Premature discharge.
•Poor patient education.•Complications following procedures.
•Poor understanding of condition .•Poor compliance.
•Poor follow up appointments.•Medication related issues.
Preventing Preventable Readmissions Study
Abstract
BACKGROUND :Discharge checklist and post-discharge phone call are routine features of health systems in many countries. The aim is to reduce unplanned readmission to hospital, help preventing patient related causes of readmission and to improve patient safety.
.
OBJECTIVES: To determine the effectiveness of dis-charge checklist and post-discharge phone call.
METHODS: Making brochures for patient education about the most common conditions known to be readmitted worldwide (HF-sepsis) plus DM and Asthma which are common in KSA.
Applying discharge planning checklist given to the patients who are preparing to leave the hospital which consists of their: - diagnosis.- health care provider contact information. - important points to be discussed with the doctor before discharge.- the next appointment and investigations required.
- drug list .
Post-discharge phone call within 72 hours of discharge and another
call will be done after 7 days.
72
PATIENT SELECTION CRITERIA:
*Admitted with heart failure, DM, asthma or sepsis (if available).
*Speaks and understands Arabic or English.
*Cooperative.
*If he/she is dependent, there must be a care-giver.
*To be discharged on the same day of selecting him/her or on the next day.
*Willing to give verbal consent of a phone number for contact.
Day 3 PDC Day 7 PDC0
2
4
6
8
10
12
14
16
18
Treatment adherenceComplications & InfectionsReadmission
RESULTS:
Checklist is helpful in understanding rights
Checklist is helpful in remembering medications
Checklist is helpful in remembering your appointments
Phone call is helpful in answering questions and concerns
Satisfaction with the post-discharge phone call overall
0 2 4 6 8 10 12 14 16 18
No
Maybe
Yes
CONCLUSION: The period between discharge and follow-up appointment is a vulnerable period of discontinuity and potential adverse events. A discharge checklist and a post discharge phone call can play an important role in bridging the gap between inpatient and outpatient care.
872179 Norah Basheer AL-Mutairi872198 Manal Saleh AL-Saleh872195 Raneem AL-Fateh AL-Sayed872027 Razan Abed Baloush872199 Leyan Naseer al-deen Khyrudeen872203 Heba Kamal Salim872209 Esra'a Talal Komah872324 Eqan Abdullah Ahmed872327 Malak Hassan AL-Qarni872272 Nada Ibrahem Bin Merdah744539 Rehab Ali AL-Yamani0405050 Fatima Ahmed AL-Gharadh
SupervisiorDr. Reem Al-Affari
Group 4-B
Thank you