TY - JOUR
T1 - Understanding Potentially Preventable 7-day Readmission Rates in Hospital Medicine Patients at a Comprehensive Cancer Center
AU - Leung, Cerena K.
AU - Walton, Natalie C.
AU - Kheder, Ed
AU - Zalpour, Ali
AU - Wang, Justine
AU - Zavgorodnyaya, Daria
AU - Kondody, Sonia
AU - Zhao, Christina
AU - Lin, Heather
AU - Bruera, Eduardo
AU - Manzano, Joanna Grace M.
N1 - Publisher Copyright:
Copyright © 2023 the American College of Medical Quality.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - This study aimed to describe the potentially preventable 7-day unplanned readmission (PPR) rate in medical oncology patients. A retrospective analysis of all unplanned 7-day readmissions within Hospital Medicine at MD Anderson Cancer Center from September 1, 2020 to February 28, 2021, was performed. Readmissions were independently analyzed by 2 randomly selected individuals to determine preventability. Discordant reviews were resolved by a third reviewer to reach a consensus. Statistical analysis included 138 unplanned readmissions. The estimated PPR rate was 15.94%. The median age was 62.50 years; 52.90% were female. The most common type of cancer was noncolon GI malignancy (34.06%). Most patients had stage 4 cancer (69.57%) and were discharged home (64.93%). Premature discharge followed by missed opportunities for goals of care discussions were the most cited reasons for potential preventability. These findings highlight areas where care delivery can be improved to mitigate the risk of readmission within the medical oncology population.
AB - This study aimed to describe the potentially preventable 7-day unplanned readmission (PPR) rate in medical oncology patients. A retrospective analysis of all unplanned 7-day readmissions within Hospital Medicine at MD Anderson Cancer Center from September 1, 2020 to February 28, 2021, was performed. Readmissions were independently analyzed by 2 randomly selected individuals to determine preventability. Discordant reviews were resolved by a third reviewer to reach a consensus. Statistical analysis included 138 unplanned readmissions. The estimated PPR rate was 15.94%. The median age was 62.50 years; 52.90% were female. The most common type of cancer was noncolon GI malignancy (34.06%). Most patients had stage 4 cancer (69.57%) and were discharged home (64.93%). Premature discharge followed by missed opportunities for goals of care discussions were the most cited reasons for potential preventability. These findings highlight areas where care delivery can be improved to mitigate the risk of readmission within the medical oncology population.
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U2 - 10.1097/JMQ.0000000000000157
DO - 10.1097/JMQ.0000000000000157
M3 - Article
C2 - 38127668
AN - SCOPUS:85181395340
SN - 1062-8606
VL - 39
SP - 14
EP - 20
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 1
ER -