Preventing Readmissions in Children: How Do We Do That?

摘要: It is frankly unbelievable that we know so little about preventing hospital readmissions in children despite (1) 60 years of readmission study and discussion across the world1; (2) national endorsement measurement reduction by esteemed entities such as National Quality Forum, Centers for Medicare Services, Agency Healthcare Research Quality2–4; (3) computer software designed to measure preventable readmissions5; (4) financial penalties hospitals (including children’s hospitals) with too many readmissions.6–8 There has been tremendous fervor adult patients, but this does not sizzle at same amplitude children. To begin with, (in general) have lower rates than adults.9–12 Furthermore, children, there neither a wealth data correlating quality discharge care nor clear understanding best practices prevent readmissions.13–15 So what’s big deal children? Should even them? Of course should. First, do problem (eg, incorrect dosing medication) negatively affects their health after discharge. The burden placed on family (and accompanying stress) remedy problems issues regarding child’s can be devastating. experience worsening returning another hospitalization always an unwelcome occurrence life child. Readmissions, like all hospitalizations, are expensive, they expose dangers environment nosocomial pathogens, adverse events). Finally, some especially those medical complexity, high or higher patients.10 Central issue …