Emergency department revisits

Keith, Kimberly D; Bocka, Joseph J.; Kobernick, Michael; Krome, Ronald L.; Ross, Michael A.

doi:10.1016/s0196-0644(89)80461-5

Cited by 145 publications

(140 citation statements)

References 2 publications

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“…Keith reported that 32.3% of readmissions result from preventable reasons. They found that 39.6% of preventable readmissions result from treatment defects, 14.6% from improper prescription, 20.8% from presenting insufficient patient education, and 36.5% from patient incompatibility (9). In another study, they remarked that 15% of RAEP cases could be preventable through comprehensive patient education (10).…”

Section: Discussionmentioning

confidence: 98%

“…In some studies, it was stated that the ratio of RAEP to ED could be a marker of quality (9,10). However, there is no precise data about which level of RAEP ratios are ideal or an indicator of high quality.…”

Section: Discussionmentioning

confidence: 99%

“…The common aim in the studies that investigate readmissions in the early period is to prevent or minimize unnecessary readmissions (9). Keith reported that 32.3% of readmissions result from preventable reasons.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, they remarked that 15% of RAEP cases could be preventable through comprehensive patient education (10). In two different studies, it was found that 1/3 of the patient-and disease-related unexpected returns were preventable returns and the patients who were admitted for the second time due to preventable causes were discharged after reevaluation (3,9). It is assumed that most of the doctor-, patient-, and system-related readmissions that were detected in the current study were preventable.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating Unscheduled Readmission to Emergency Department in the Early Period

et al. 2016

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Background:The readmission in the early period (RAEP) is defined as the admission of a patient to emergency department (ED) for the second time within 72 hours after discharge from the ED. Aims: The aim of this study was to determine the disease, patient, doctor, and system related causes of RAEP. Study Design: Descriptive study. Methods: This study is a two-stage study that was conducted at Department of Emergency, Gazi University Faculty of Medicine. The causes of RAEP were defined as disease, patient, doctor, and system related causes. Results: A total of 46,800 adult patients admitted to ED during the study period and 779 (1.66%) patients required RAEP. After the exclusion criteria, 429 of these patients were included the study. The most common reasons for RAEP were renal colic in 46 (10.7%) patients. It was detected that 60.4% of the causes of RAEP were related to disease, 20.0% were related to the doctor, 12.1% were related to the patient, and 7.5% were related to the hospital management system. Conclusion: This study revealed that there are patient-, doctor-, and system-related preventable reasons for RAEP and the patients requiring RAEP constitute the high risk group.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evaluating Unscheduled Readmission to Emergency Department in the Early Period

et al. 2016

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“…Keith et al found that almost 40% of patients who made unscheduled return visits to a Detroit ED within 72 hours of their initial visits did so for avoidable reasons: a deficiency in medical management, in prescribed follow-up, in patient education, or in patient compliance. 66 Eighty-five percent of these visits occurred in the first 48 hours, implying that a twoday time frame may be sufficient for data collection. The authors suggest developing a more efficient method of detection by conducting a single month-long chart review in order to determine high-risk categories; these high-risk categories can then be used to refine continuing searches and analyses.…”

Section: System-level Approachesmentioning

confidence: 99%

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Schenkel

2000

Academic Emergency Medicine

133

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Abstract. An estimated 108,000 people die each year from potentially preventable iatrogenic injury. One in 50 hospitalized patients experiences a preventable adverse event. Up to 3% of these injuries and events take place in emergency departments. With long and detailed training, morbidity and mortality conferences, and an emphasis on practitioner responsibility, medicine has traditionally faced the challenges of medical error and patient safety through an approach focused almost exclusively on individual practitioners. Yet no matter how well trained and how careful health care providers are, individuals will make mistakes because they are human. In general medicine, the study of adverse drug events has led the way to new methods of error detection and error prevention. A combination of chart reviews, incident logs, observation, and peer solicitation has provided a quantitative tool to demonstrate the effectiveness of interventions such as computer order entry and pharmacist order review. In emergency medicine (EM), error detection has focused on subjects of high liability: missed myocardial infarctions, missed appendicitis, and misreading of radiographs. Some system-level efforts in error prevention have focused on teamwork, on strengthening communication between pharmacists and emergency physicians, on automating drug dosing and distribution, and on rationalizing shifts. This article reviews the definitions, detection, and presentation of error in medicine and EM. Based on review of the current literature, recommendations are offered to enhance the likelihood of reduction of error in EM practice.

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Emergency Medicine

Hedges¹

1990

JAMA

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Emergency department revisits

Cited by 145 publications

References 2 publications

Evaluating Unscheduled Readmission to Emergency Department in the Early Period

Evaluating Unscheduled Readmission to Emergency Department in the Early Period

Promoting Patient Safety and Preventing Medical Error in Emergency Departments

Emergency Medicine

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