Hospital readmission and parent perceptions of their child's hospital discharge

Berry, Jay G.; Ziniel, Sonja; Freeman, Linda; Kaplan, William J.; Antonelli, Richard C.; Coleman, Eric A.; Porter, Stephanie; Goldmann, Don

doi:10.1093/intqhc/mzt051

Cited by 109 publications

(103 citation statements)

References 23 publications

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“…Post-discharge coping difficulty was low through the first 3 weeks at 1.7 out of 10. Overall, the readmission rate within 30 days was 6.7%, which is similar to the national rate of 6.5% (Berry, Toomey, et al, 2013;Berry, Ziniel, et al, 2013) and the rate of visits to the ED without readmission in the same period was 14.4%. Table 3 presents the results of the regression modeling using a simultaneous equation approach to explore the sequential relationships from quality of discharge teaching to readiness for discharge and the care transition to post discharge coping difficulty and readmissions/ED visits.…”

Section: Resultssupporting

confidence: 71%

“…While major initiatives have advanced in adult care in conjunction with reforms in payment models for hospital readmissions, the prioritization of improvement in discharge care and readmission rates is a more recent emerging concern in pediatric care (Berry et al, 2014). Approximately 6.5% of children are readmitted to the hospital within 30 days of being discharged from acute care pediatric hospitals (Berry, Toomey, et al, 2013;Berry, Ziniel, et al, 2013), with the majority of these readmissions comprised of children with complex chronic conditions, technology dependency, public insurance, and recurrent problems associated with the same organ system (Berry et al, 2011). Thirty percent of these pediatric readmissions are estimated to be preventable (Toomey et al, 2016).…”

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confidence: 99%

See 1 more Smart Citation

Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children

Weiss

Sawin

Gralton

et al. 2017

Journal of Pediatric Nursing

120

127

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Section: Resultssupporting

confidence: 71%

mentioning

confidence: 99%

Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children

Weiss

Sawin

Gralton

et al. 2017

Journal of Pediatric Nursing

120

127

View full text Add to dashboard Cite

“…4,9 More specifi cally, the 30-day readmission rate for children who are typically developing and without chronic illness is 3.1%. 3 For children with a single complex chronic condition and/or technology assistance, the rate of readmission to an acute care hospital has been reported to be up to 25% within 30 days of a previous hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to being expensive, these unplanned events are disruptive to patient care and cause stress for a child and the child's family. 4 Hospitals that are designing integrative models of care and initiatives to improve patient safety and health outcomes, and decrease costs, need to focus on the entire continuum of care for children. Thus, the purpose of this study was to identify the incidence, clinical reasons, and predictive factors for unplanned readmissions to acute care from a pediatric postacute care hospital.…”

mentioning

confidence: 99%

Unplanned Readmissions to Acute Care From a Pediatric Postacute Care Hospital: Incidence, Clinical Reasons, and Predictive Factors

O’Brien

Dumas

Nash

et al. 2015

Hospital Pediatrics

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KEY WORDS POTENTIAL CONFLICT OF INTEREST:The authors have indicated they have no potential confl icts of interest to disclose. abstract OBJECTIVE: To identify the incidence, clinical reasons, and predictive factors for unplanned readmissions to acute care from a pediatric postacute care hospital. METHODS:A retrospective cohort analysis of all discharges between October 1, 2011, and September 30, 2013 (n = 298), in 1 pediatric postacute care hospital was conducted. Descriptive statistics were used to summarize the incidence and assess the clinical reasons for all readmissions to an acute care hospital. Logistic regression was used to identify predictive factors of any unplanned readmission to an acute care hospital. RESULTS:Thirty percent of all postacute care hospital discharges were unplanned readmissions to an acute care hospital. The primary clinical reasons for unplanned readmissions to acute care were respiratory decompensation (54%) and infection (20%). Requiring invasive mechanical ventilation, being <1 year of age, and having a postacute care length of stay <30 days were the 3 predictive factors.CONCLUSIONS: This is the fi rst study to examine readmission to acute care from a postacute care hospital and to identify age, length of stay, and dependence on mechanical ventilation as predictive factors. Understanding which children are likely to require an unplanned readmission may allow providers to develop strategies to minimize this occurrence.

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“…When parents do not feel safe taking care of their child, or confident about his/her recovery, they become anxious about decreased hospital stay and early discharge (7) . Parents' perception regarding their child's health at discharge has been associated with the risk of a subsequent unplanned readmission (10) . A sense of isolation is mentioned by parents who express the need for follow-up after child discharge (11) .…”

Section: Introductionmentioning

confidence: 99%

A família vivenciando o processo de recuperação da criança pós-alta hospitalar

2015

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How to cite this article: Pinto JP, MandettaI MA, Ribeiro CA. The family living the child recovery process after hospital discharge.Rev Bras Enferm. 2015;68(4):510-7. DOI: http://dx.doi.org/10.1590/0034-7167.2015680304iSubmission: 03-07-2015 Approval: 04-27-2015 ABSTRACT Objective: to understand the meaning attributed by the family to its experience in the recovery process of a child affected by an acute disease after discharge, and to develop a theoretical model of this experience. Symbolic interactionism was adopted as a theoretical reference, and grounded theory was adopted as a methodological reference. Method: data were collected through interviews and participant observation with 11 families, totaling 15 interviews. A theoretical model consisting of two interactive phenomena was formulated from the analysis: Mobilizing to restore functional balance and Suffering from the possibility of a child's readmission. Results: the family remains alert to identify early changes in the child's health, in an attempt to avoid rehospitalization. Conclusion: the effects of the disease and hospitalization continue to manifest in family functioning, causing suffering even after the child's discharge and recovery. Key words: Family; Child; Convalescence; Nursing; Patient Discharge. RESUMO Objetivo: compreender o signifi cado atribuído pela família à sua vivência no processo de recuperação da criança acometida por doença aguda, após a alta hospitalar e elaborar um modelo teórico a respeito dessa experiência. O Interacionismo Simbólico foi adotado como referencial teórico e a Grounded Theory como metodológico. Método: os dados foram coletados por meio de entrevista e observação participante com 11 famílias, totalizando 15 entrevistas. A análise levou à formulação de um Modelo Teórico composto por dois fenômenos interativos: Mobilizando-se para resgatar o equilíbrio de seu funcionamento e Sofrendo com a possibilidade de reintegrar a criança. Resultados: estes revelaram que a família mantém-se em alerta para identifi car precocemente alterações de saúde da criança na tentativa de evitar uma reinternação. Conclusão: os efeitos da doença e hospitalização continuam a manifestar-se no funcionamento familiar, gerando sofrimento mesmo após a alta e a recuperação da criança. Descritores: Família; Criança; Convalescença; Enfermagem; Alta do Paciente. RESUMENObjetivo: comprender el signifi cado atribuido por la familia de su experiencia en la recuperación de los niños afectados por el proceso de la enfermedad aguda, después de la descarga y desarrollar un modelo teórico sobre la experiencia. El Interaccionismo Simbólico fue adoptado como un teórico y la Teoría Fundamentada como metodológico. Método: los datos fueron recolectados a través de entrevistas y observación participante con 11 familias, con un total de 15 entrevistas. El análisis dio lugar a la formulación de un modelo teórico consta de dos fenómenos interactivos: Movilización para restaurar el balance de su funcionamiento y Sufriendo con la posibilidad de reinternar el niño. Re...

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Hospital readmission and parent perceptions of their child's hospital discharge

Abstract: Parent perception of their child's health at discharge was associated with the risk of a subsequent, unplanned readmission. Addressing concerns with this perception prior to hospital discharge may help mitigate readmission risk in children.

Cited by 109 publications

References 23 publications

Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children

Discharge Teaching, Readiness for Discharge, and Post-discharge Outcomes in Parents of Hospitalized Children

Unplanned Readmissions to Acute Care From a Pediatric Postacute Care Hospital: Incidence, Clinical Reasons, and Predictive Factors

A família vivenciando o processo de recuperação da criança pós-alta hospitalar

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