Exploring the preventable causes of unplanned readmissions using root cause analysis: Coordination of care is the weakest link

European Journal of Internal Medicine
K S Fluitmansafer@home consortium

Abstract

Unplanned readmissions within 30days are a common phenomenon in everyday practice and lead to increasing costs. Although many studies aiming to analyze the probable causes leading to unplanned readmissions have been performed, an in depth-study analyzing the human (healthcare worker)-, organizational-, technical-, disease- and patient-related causes leading to readmission is still missing. The primary objective of this study was to identify human-, organizational-, technical-, disease- and patient-related causes which contribute to acute readmission within 30days after discharge using a Root-Cause Analysis Tool called PRISMA-medical. The secondary objective was to evaluate how many of these readmissions were deemed potentially preventable, and to assess which factors contributed to these preventable readmissions in comparison to non-preventable readmissions. Cross-sectional retrospective record study. An academic medical center in Amsterdam, The Netherlands. Fifty patients aged 18years and older discharged from an internal medicine department and acutely readmitted within 30days after discharge. Root causes of preventable and unpreventable readmissions. Most root causes for readmission were disease-related (46%), followed by hu...Continue Reading

References

Mar 8, 1998·The American Journal of Managed Care
Mar 3, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Carl van WalravenAlan J Forster
Jul 28, 2010·The British Journal of Surgery·I van WagtendonkC Wagner
Oct 5, 2010·Southern Medical Journal·Beril Cakir, Gary Gammon
Nov 18, 2010·BMC Health Services Research·Carrie H K YamE K Yeoh
Nov 19, 2010·Implementation Science : IS·Joshua R VestKevin M Slawson
Feb 4, 2011·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Lee A Lindquist, David W Baker
Mar 30, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Carl van WalravenAlan J Forster
Mar 30, 2012·The New England Journal of Medicine·Karen E Joynt, Ashish K Jha
May 31, 2012·Age and Ageing·Paul E CotterRichard W S Biram
Dec 18, 2013·BMJ : British Medical Journal·Jacques DonzéJeffrey L Schnipper
Mar 13, 2014·PloS One·Eri ShimizuBrad Spellberg
Jan 24, 2015·QJM : Monthly Journal of the Association of Physicians·S LangM Holland
Feb 3, 2015·JAMA Internal Medicine·S Ryan GreysenKenneth E Covinsky
Jul 15, 2015·QJM : Monthly Journal of the Association of Physicians·T CooksleyUNKNOWN safer@home consortium
Sep 15, 2015·JAMA Internal Medicine·Michael L BarnettJ Michael McWilliams

❮ Previous
Next ❯

Citations

Aug 25, 2017·Inflammatory Bowel Diseases·Kaci E ChristianRaymond K Cross
Jun 21, 2019·BMC Medical Research Methodology·Eva-Linda KneepkensFatma Karapinar-Çarkit
Sep 21, 2018·BMC Health Services Research·Malin Knutsen GletteSiri Wiig
Sep 24, 2020·BMC Geriatrics·Babiche E J M DriesenPrabath W B Nanayakkara
Apr 30, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·McVin Hua Heng CheenGiat Yeng Khee
Dec 1, 2020·Social Science & Medicine·Viviane ChinwahIgnatius Ekanem
May 23, 2021·Professional Case Management·Cathy WrotnyMaurice Brulé
Jun 10, 2021·International Journal of Clinical Practice·Michael N ArmitageGeraldine Lee
Dec 7, 2021·Journal of Clinical Nursing·Beth E SchultzNathaniel Bell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.