Savoy Margot, Davis Joshua, Bittner-Fagan Heather
The Family Medicine Center, 1401 Foulk Rd Suite 100B, Wilmington, Delaware 19803.
Sidney Kimmel Medical College - Thomas Jefferson University, 1025 Walnut St, Philadelphia, PA 19107.
FP Essent. 2017 Dec;463:21-26.
Identifying and preventing avoidable hospital admissions have become cornerstone quality metrics that influence reimbursement and provision of quality care. Many initiatives focus on improving communication with other clinicians and patients, coordinating care after discharge, and improving care quality during the initial admission to prevent future readmissions. The Centers for Medicare and Medicaid Services define a readmission as an admission to any acute care hospital for any reason within 30 days of discharge from an acute care hospital. Certain risk factors can indicate the need for targeted intervention to prevent readmission. Several risk stratification screening tools have been developed to assist clinicians in identifying at-risk patients for early intervention. However, the evidence supporting the accuracy and reliability of these tools remains limited.
识别并预防可避免的住院已成为影响报销和优质护理提供的关键质量指标。许多举措聚焦于改善与其他临床医生及患者的沟通、出院后协调护理，以及在初次住院期间提高护理质量以防止未来再次入院。医疗保险和医疗补助服务中心将再次入院定义为在从急症医院出院后30天内因任何原因入住任何急症医院。某些风险因素可表明需要进行有针对性的干预以预防再次入院。已开发了几种风险分层筛查工具来协助临床医生识别有风险的患者以便早期干预。然而，支持这些工具准确性和可靠性的证据仍然有限。
