Featured Research

from universities, journals, and other organizations

Hospital readmission rates not accurate measure of care quality, experts say

Date:
August 22, 2011
Source:
Canadian Medical Association Journal
Summary:
Avoidable readmissions after discharge from hospital are fairly uncommon and are not an accurate measure of quality of care, found a new study.

Avoidable readmissions after discharge from hospital are fairly uncommon and are not an accurate measure of quality of care, found a study in CMAJ (Canadian Medical Association Journal).

Urgent or unplanned hospital readmissions are increasingly being used as a measure of the quality of hospital care in Canada. It is therefore important to understand how many of these readmissions are avoidable as that is a better measure of quality.

Researchers looked at hospital readmission rates at 11 Ontario hospitals in five cities, including 6 teaching and 5 community hospitals. The study included 4812 patients admitted for with a broad range of illnesses. Of the discharged patients, 649 (13.5%) were readmitted through the emergency department after discharge. One hundred and four (16%) of these readmissions (2.2% of the total number) were deemed avoidable by physician peer review. Although readmission rates between hospitals varied significantly from 7.5% to 22.5%, hospitals did not vary significantly by avoidable readmission rates, questioning the use of urgent readmission rates to measure quality of care.

"The proportion of patients who had an urgent readmission was not associated with the proportion of patients who had an avoidable readmission," writes Dr. Carl van Walraven, Ottawa Hospital Research Institute, and colleagues.

"Urgent readmissions deemed potentially avoidable were relatively uncommon, comprising less than 20% of all urgent readmissions following hospital discharge. Hospital-specific proportions of patients who were readmitted were not related to proportions with a potentially avoidable readmission," write the authors.

These findings also indicate that measures to reduce readmissions must be multifaceted and be tailored to specific situations. The authors conclude that urgent readmission rates should only be used cautiously as a measure of quality of hospital care.


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. Carl van Walraven, Alison Jennings, Monica Taljaard, Irfan Dhalla, Shane English, Sunita Mulpuru, Saul Blecker, Alan J. Forster. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Canadian Medical Association Journal, 2011 DOI: 10.1503 /cmaj.110400

Cite This Page:

Canadian Medical Association Journal. "Hospital readmission rates not accurate measure of care quality, experts say." ScienceDaily. ScienceDaily, 22 August 2011. <www.sciencedaily.com/releases/2011/08/110822121714.htm>.
Canadian Medical Association Journal. (2011, August 22). Hospital readmission rates not accurate measure of care quality, experts say. ScienceDaily. Retrieved April 24, 2014 from www.sciencedaily.com/releases/2011/08/110822121714.htm
Canadian Medical Association Journal. "Hospital readmission rates not accurate measure of care quality, experts say." ScienceDaily. www.sciencedaily.com/releases/2011/08/110822121714.htm (accessed April 24, 2014).

Share This



More Health & Medicine News

Thursday, April 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Big Pharma Braces for M&A Wave

Big Pharma Braces for M&A Wave

Reuters - Business Video Online (Apr. 22, 2014) Big pharma on the move as Novartis boss, Joe Jimenez, tells Reuters about plans to transform his company via an asset exchange with GSK, and Astra Zeneca shares surge on speculation that Pfizer is looking for a takeover. Joanna Partridge reports. Video provided by Reuters
Powered by NewsLook.com
Study Says Most Crime Not Linked To Mental Illness

Study Says Most Crime Not Linked To Mental Illness

Newsy (Apr. 22, 2014) A new study finds most crimes committed by people with mental illness are not caused by symptoms of their illness or disorder. Video provided by Newsy
Powered by NewsLook.com
Hagel Gets Preview of New High-Tech Projects

Hagel Gets Preview of New High-Tech Projects

AP (Apr. 22, 2014) Defense Secretary Chuck Hagel is given hands-on demonstrations Tuesday of some of the newest research from DARPA _ the military's Defense Advanced Research Projects Agency program. (April 22) Video provided by AP
Powered by NewsLook.com
How Smaller Plates And Cutlery Could Make You Feel Fuller

How Smaller Plates And Cutlery Could Make You Feel Fuller

Newsy (Apr. 22, 2014) NBC's "Today" conducted an experiment to see if changing the size of plates and utensils affects the amount individuals eat. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins