Introduction to Prevent Readmission

Closer monitoring and management of sodium levels and fluid restriction in patients with these risk factors may prevent readmission.

The results demonstrate that current focus of research emphasizes the safety of ambulatory surgery-with several studies commenting on complication rates, patient selection, and postoperative protocols to prevent readmissions or complications.

Strategies targeted to prevent readmissions beyond the traditional 30-day benchmark are warranted in this population.

These findings suggest that the development of specific interventions to prevent premature discharge before satisfactory symptom remission, in particular in those patients with previous admissions in their patient history, might help to prevent readmissions.

How to predict and therefore prevent readmission has been a significant challenge in outcomes research.

For those experiencing a VTE, one in five patients were readmitted within 90 days indicating more resources should be allocated to this patient population to prevent readmission.

At the same time, penalized hospitals’ efforts to prevent readmissions may be keeping higher proportions of their patients in the community.

For patients with significant behavioral health disorders, 1 article considers early posthospital follow-up to prevent readmission and another notes differences between the views of generalist physicians and psychiatrists on which specialty should test and manage antipsychotic-related metabolic disorders.

Objective Academic medical centers face unique challenges in educating physician trainees in effective discharge practices to prevent readmissions.

Hospital systems and providers are tasked with effectively managing this condition to prevent readmission from exacerbations.

Identifying strategies to both prevent readmission and mitigate risk among patients who had a readmission may improve outcomes among this substantial, high-risk group of ESRD patients.

1 While robust guidelines exist for management of initial sepsis episodes, strategies to identify and prevent readmissions are necessary.

OBJECTIVES To target interventions to prevent readmission, we sought to develop clinical prediction models for 30-day readmission among children with complex chronic conditions (CCCs).

A number of technological interventions have been developed to prevent readmissions in this complex population.

Pharmacists have been utilized during the medication reconciliation process, during admission, and after hospital discharge to prevent readmission and identify medication discrepancies.

2 Although some authors have identified specific risk factors for readmission such as postsurgical complications3 and comorbidities,4 less research has been carried out on ways to prospectively prevent readmissions.

Purpose/Aim: The aim of this study was to improve parental comfort and efficacy in infant feeding preparation during hospitalization, reduce mixing inaccuracy postdischarge, and prevent readmission.

On the heels of ERAS, an explosion of interventions to further reduce complications and prevent readmission have followed: identifying and reducing malnutrition, improving fitness through exercise, targeting mental health and anxiety, and comprehensive programs that target multiple domains (prehabilitation).

This study identified several variables associated with 30dRA that require confirmation in a prospective study, which could direct attempts to prevent readmissions.

Ileostomy surgery is associated with a high readmission rate, and care pathways to prevent readmissions have been proposed.

CONCLUSION These results can inform potential interventions to prevent readmissions through OPAT clinic follow-up and to further assess factors associated with successful care transitions from the inpatient to outpatient setting.

Future studies on institutional protocols targeting these identified predictors to prevent readmission are necessary to decrease readmission rates on a national scale.

This lack of spillover effect suggests that each surgical condition may require tailored interventions to prevent readmissions.

The team also implemented innovative techniques such as Community Paramedicine outpatient visits to carry out intravenous diuretic protocols in the home, virtual/telemedicine visits, and ReDS-VEST technology to monitor for signs of early exacerbation and prevent readmissions.

Conclusions: CRP levels are useful in monitoring treatment efficacy of septic arthritis in children but are not reliable as a discharge criterion to prevent readmission or reoperation.

Wearables can provide data and automatic analytics that can help nurse practitioners diagnose issues more quickly and intervene sooner to prevent readmissions or negative sequelae.