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Dan Med J ; 63(9)2016 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-27585528

RESUMEN

INTRODUCTION: The objective of this article was to qualify and test the recommendations of a national Danish report. We conducted an investigation on the readmittance rate as well as reasons for readmittance in a patient cohort defined through the process of internal audit at the Emergency Department at Zealand University Hospital, Køge, Denmark. METHODS: A retrospective, descriptive study of admitted patients in November 2014, including a total of 1,440 patients. Data and parameters were obtained from electronic patient records. RESULTS: A total of 162 patients were readmitted within 30 days from their initial admission (11% of the cohort). Of this group, 139 (86%) readmittances were unpreventable or planned. Readmissions caused by missed diagnosis or insufficient treatment accounted for 8% and 6%, respectively. The median time until readmission in these cases were two and four and a half days, respectively. The median time to readmission for the unpreventable readmissions ranged from 13 to 18.5 days. CONCLUSION: In terms of patient safety, our data support a seven-day observation period for readmission rates when measuring or monitoring quality of care in emergency departments. FUNDING: none. TRIAL REGISTRATION: none.


Asunto(s)
Servicio de Urgencia en Hospital/normas , Readmisión del Paciente/tendencias , Garantía de la Calidad de Atención de Salud , Sistema de Registros , Adulto , Dinamarca , Femenino , Humanos , Tiempo de Internación/tendencias , Masculino , Persona de Mediana Edad , Alta del Paciente/tendencias , Estudios Retrospectivos
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