Retrospective Analysis: Interrogating Factors Associated with Hospital Readmissions Within 28 days Following Surgery, November 2018 to November 2019. C. Zvidzai, 2018

Mr Cleopas Zvidzai1

1Brunswick Private Hospital HealtheCare, Brunswick, Australia

 

Background:

Reducing hospital-readmission rates is a clinical and policy priority. Hospital readmissions are widely believed to be an indicator of sub-optimal care and have become a major focus of efforts by many countries to improve outcomes and reduce health care costs.

Study Design:

This study attempts to retrospectively identify factors associated with 28-day readmissions following different surgical procedures. The study population will represents 5 surgical specialty namely; general surgery, musculoskeletal, maxillofacial, endoscopic procedures, and urology. Focus will retrospectively assess factors in-depth i.e. length of stay, repeat hospitalisation(0-28days), patient age and comorbidities, surgical procedure, antibiotic prophylaxis, departmental hand hygiene compliance, aseptic technique program results, discharge ward,  and theatre data(namely; air microbiological tests, theatre/procedure room, environmental auditing results,  and HEPA filter maintenance  records).

Results:

Efforts to reduce readmission rates should be targeted to identify and address preventable cases among the total readmitted population from this observational outcome.

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