Category Archives: Readmission

Decreasing Hospital Readmission in Ileostomy Patients

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“Nearly 30% of patients with newly formed ileostomies require hospital readmission from severe dehydration or associated complications. This contributes to significant morbidity and rising healthcare costs associated with this procedure. The aim of this study was to design and pilot a novel program to decrease readmissions in this patient population.”

“Implementation of a novel program reduced the 30-day readmission rate by 58% and cost of readmissions per patient by >80% in a high risk for readmission patient population with newly created ileostomies. Future efforts will expand this program to a greater number of patients, both institutionally and systemically, to reduce the readmission-rate and healthcare
costs for this high-risk patient population.”

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Association between language discordance and unplanned hospital readmissions or emergency department revisits

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“Patients and families who are language discordant with their clinical teams report lower
patient satisfaction, worse health status, and lower rates of having a regular healthcare
provider and obtaining preventive care services. When patients and parents with
a non-dominant language preference access care, they report difficulty communicating
and understanding medical information from providers, comprehending written medical
information, reading prescription bottles, and accessing interpretation services.
Individuals with non-dominant language preferences have also been shown to experience
more medical errors and adverse health events.”

Figure 2.
Meta-analysis of studies that evaluated differences in 28-day or 30-day hospital readmission
rate among adult patients with versus without a dominant langauge preference, stratified
by studies that provided interpreter access or verified interpreter usage among patients with
non-dominant language preference versus studies in which interpreter access or use was not
specified. COPD, chronic obstructive pulmonary disease.
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Unplanned Reoperations, Emergency Department Visits and Hospital Readmission After Thyroidectomy

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“Emergency Department visits and hospital readmission after thyroidectomy are common, and there are several practices that can reduce their occurrence. Routine postoperative calcium and vitamin D supplementation may reduce rates of postoperative hypocalcemia, and avoiding postoperative hypertension may decrease the risk of neck hematoma development and the need for reoperation. Older age, thyroid cancer, dependent functional status, higher ASA score, diabetes, chronic obstructive pulmonary disease, steroid use, hemodialysis, and recent weight loss increase the risk of hospital readmission after thyroid surgery. By further identifying risk factors for reoperation, ED visits, and readmission, this review may assist practitioners in optimizing perioperative care and therefore reducing patient morbidity and mortality after thyroid operations.”

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