Related Experiment Video
Updated: May 1, 2026
05:16
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
803
Classifying emergency 30-day readmissions in England using routine hospital data 2004-2010: what is the scope for
Ian Blunt1, Martin Bardsley1, Amy Grove2
1The Nuffield Trust, London, UK.
Emergency Medicine Journal : EMJ
|March 27, 2014
Summary
A study of 82 million hospital records found that 30% of emergency readmissions were potentially preventable. Tailored reduction strategies are needed to address different causes of hospital readmissions.
Area of Science:
- Health Services Research
- Public Health
- Health Economics
Background:
- Global health systems implement payment denial for emergency hospital readmissions.
- Understanding readmission causes is crucial for effective interventions.
Purpose of the Study:
- To develop an exploratory categorization of emergency hospital readmissions based on likely causes.
- To assess the prevalence of different readmission types.
Main Methods:
- Retrospective analysis of 82 million National Health Service hospital records (England, 2004-2010).
- Anonymised person-level data linkage for calculating 30-day readmissions.
- Exploratory categorization using International Classification of Diseases (ICD) codes.
Main Results:
- Over 5.8 million emergency 30-day readmissions occurred (7.0% of discharges).
- Categories included: potentially preventable (30.0%), anticipated but unpredictable (19.7%), preference-related (0.9%), data artefact (0.3%), unrelated cause (19.0%), and broadly related (30.2%).
Conclusions:
- A significant minority of emergency readmissions are potentially preventable or due to data artefacts.
- Hospital strategies for reducing readmissions require careful tailoring to specific causes.
- Payment incentives should align with nuanced understanding of readmission drivers.
More Related Videos
Related Concept Videos
01:22Healthcare Associated Infections II: Preventive Measures
4.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
4.7K
01:15Methods of Documentation VI: Case Management Model
924
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
924
01:28Acute Coronary Syndrome IV: Interprofessional Care
522
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
522
01:30Methods of Documentation VII: EMR
1.5K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.5K
01:26Traditional Level Of Health Care System
3.4K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.4K
01:29Issues And Trends In Healthcare Delivery System
6.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.5K