Unscheduled Emergency Department Revisits Within 48 Hours of Discharge

This study aimed to analyze early revisits (within 48 hours of discharge) in an Emergency Department. Among the 178,295 visits, 11,686 were revisits, resulting in a rate of 6.55% (95%CI 6.43-6.67). A total of 1,410 revisits required hospitalization, and 252 were due to preventable errors (17.87%). T...

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Bibliographic Details
Published in:	Studies in health technology and informatics Vol. 310; p. 304
Main Authors:	Ratti, María Florencia Grande, Martingano, Ignacio, Otero, Paula Daniela, Otero, Carlos Martin, Farina, Juan María, Rubin, Luciana, Luna, Daniel, Esteban, Jorge Ariel, Pedretti, Ana Soledad, Rodríguez, María de la Paz, Cid, Micaela Sanchez Del, Martínez, Bernardo Julio
Format:	Journal Article
Language:	English
Published:	Netherlands 25-01-2024
Subjects:	Benchmarking Emergency Service, Hospital Health Facilities Hospitalization Humans Patient Discharge emergency medical services hospital information systems Argentina quality of health care data science Referral and consultation
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Summary:	This study aimed to analyze early revisits (within 48 hours of discharge) in an Emergency Department. Among the 178,295 visits, 11,686 were revisits, resulting in a rate of 6.55% (95%CI 6.43-6.67). A total of 1,410 revisits required hospitalization, and 252 were due to preventable errors (17.87%). These errors were mainly related to an inadequate therapeutic plan at discharge (47.22%), an incomplete diagnostic process (29.37%), and misdiagnoses (13.10%). These findings represent a technology-enabled clinical audit tool. Electronic Healthcare Records have the potential to: provide quality metrics of hospital performance, help to keep revisit rates updated (assessment through a real-time dashboard), and improve clinical management (by transparency initiatives about errors, and a supportive learning environment regarding lessons learned).
ISSN:	1879-8365
DOI:	10.3233/SHTI230976