Preventability of Pediatric 30-Day Readmissions following Ventricular Shunt Surgery.

摘要: Objective To compare the preventability of 30-day pediatric ventricular shunt readmissions using clinical and administrative data review. Study design We performed a retrospective chart review one hundred forty-seven at tertiary center from May 2009-April 2013 under 2 scenarios: scenario 1 considered all failures preventable; with excellent/good catheter positioning no contributing deficiencies in care not preventable. Three physician reviewers independently assessed to determine their whether existed that contributed readmission. also evaluated degree interrater agreement adjudicating readmission preventability. Results Only 42% following procedures were preventable when considering as When classifying shunts proximal position preventable, 21% deemed Interrater on was high (kappa 0.88). Deficiencies 29 (20%), largest category being related, but Conclusions Significant discrepancy exists adjudication between Although has determined majority readmissions following are our suggests significantly lower