Jansen Kay R
University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, United States.
NI 2012 (2012). 2012 Jun 23;2012:184. eCollection 2012.
Hospital readmission is a focus of efforts to improve quality and reduce cost in our healthcare system. Use of a standard readmission classification in a clinical information system would facilitate examination and analysis of reasons for hospital readmission and provide direction for targeting interventions. The purpose of this quality improvement project was to examine coverage of reasons for readmission in three existing classification schemes compared with a "gold standard" conceptual framework. Data were obtained from five data sources about reasons for readmission for a select group of patients using a modified Institute for Healthcare Improvement (IHI) tool. Both the structure and the level of granularity of the three classifications had an impact on the classification of reasons. Between 53% and 65% of the reasons for readmission could be coded in the three readmission classifications, leaving 35% to 47% of the reasons uncoded, when compared with the conceptual framework.
医院再入院是我们医疗系统中提高质量和降低成本工作的重点。在临床信息系统中使用标准的再入院分类将有助于检查和分析医院再入院的原因，并为针对性干预提供指导。这个质量改进项目的目的是将三种现有的分类方案中再入院原因的覆盖范围与一个“黄金标准”概念框架进行比较。使用改进后的医疗保健改进研究所（IHI）工具，从五个数据源获取了一组特定患者再入院原因的数据。这三种分类的结构和粒度水平都对原因分类产生了影响。与概念框架相比，三种再入院分类中53%至65%的再入院原因可以编码，仍有35%至47%的原因未编码。
