Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

Investigating the impact of hospital care interventions on patients readmission rate in Ahvaz Abuzar Hospital in 1402

Document Type : Original Article

Authors
1 Department of Pediatrics, faculty of Medicine, Jundishapur University of Medical Sciences, Ahvaz, Iran.
2 Abuzar Children's Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
3 Abuzar Children's Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
4 Hyperlipidemia Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
10.32592/jsmj.24.1.104
Abstract
Introduction: Readmission of patients refers to the return of a patient to the hospital after initial discharge, recognized as an indicator of hospital service quality. An increased readmission rate generally suggests a deficiency in care quality or incomplete treatment, potentially leading to increased costs and socioeconomic issues. This study aims to evaluate the impact of care interventions on reducing patient readmissions at Abuzar Children’s Hospital in Ahvaz.
Materials and Methods: This descriptive study was conducted at Abuzar Children’s Hospital in Ahvaz from April 2021 to October 2023. Inclusion criteria consisted of discharge and subsequent readmission. Care interventions aimed at reducing readmission rates were implemented from October 2022 to October 2023, with data collected from patient records.
Findings: In 2021 and 2022, readmission rates were 0.41% and 0.42%, respectively, with the most common causes being disease relapse and discharge against medical advice. The highest readmission rates were in the neonatal (25.3%) and general (21.1%) departments. Following the interventions, there was a significant decrease (33.33%) in readmissions during the first half of 2023 compared to 2021 and 2022. Additionally, post-surgical infections and cases of discharge against medical advice were reduced.

Conclusion: Understanding the factors leading to readmission can help improve healthcare service quality and reduce costs. The findings indicate that regular care interventions can effectively decrease hospital readmission rates and enhance the quality of healthcare services. It is recommended that health-care interventions be tailored to specific age groups for more effective reduction in readmission rates.
Keywords
Subjects

  •  

    • Eslamimoghadam F, Aliabadi F, Afrashteh S, Abbasi M, Ahmadli R, Mohammadbeigi A. Prevalence of post-cesarean readmission and its related factors in women delivered by cesarean of Qom hospitals, 2017,(Iran). Qom University of Medical Sciences Journal. 2018;12(6).
    • Berry JG, Toomey SL, Zaslavsky AM, Jha AK, Nakamura MM, Klein DJ, et al. Pediatric readmission prevalence and variability across hospitals. Jama. 2013;309(4):372-80. [1001/jama.2012.188351 ] [PMID]
    • Sajadi S, Hosseini SM, Alimohammadzadeh K. Assessment of prevalence of readmission in admitted ward of Tehran Oil Company’s hospital in 2016. Nursing And Midwifery Journal. 2018;16(1):1-11.
    • Tazhibi M, Ghaderi Nansa L, Tirani M. Causes of readmission of patients to Alzahra Hospital, Iran. Journal of Health System Research. 2011 Apr 10;7(1):0.
    • Abdi K, Yaghobi M, Nouri B, Karimian A. Evaluation of the reasons for readmission in educational and medical hospitals in Sanandaj in 2017.
    • Mohammad A., Zahra A., Abbas R., Abolqasem P., Hossein D. Investigating the causes of re-hospitalization of patients in Tehran University of Medical Sciences hospitals. 2010.
    • Seibt S, Gilchrist CA, Reed PW, Best EJ, Harnden A, Camargo CA, Grant CC. Hospital readmissions with acute infectious diseases in New Zealand children< 2 years of age. BMC pediatrics. 2018 Dec;18:1-9. [1186/s12887-018-1079-x ][PMID]
    • Vali L, Goudarzi R, Azari G, Ghorbani Nia R. Identifying the factors influencing the re-admission of hospitalized patients in the internal wards of educational hospitals: a qualitative study. Tehran University of Medical Sciences Journal. 2020 Oct 10;78(7):429-33.
    • Puriyan LE, Soroush A, Jalilian N, Kalhori RP. Factors affecting Readmission of Patients with Type II Diabetes in Selected Hospitals in Kermanshah 2013. Journal of Clinical Research in Paramedical Sciences. 2015;4(2).
    • Napolitano F, Tomassoni D, Cascone D, Di Giuseppe G, Collaborative Working Group di Mauro Maurizio Rago Vito. Evaluation of hospital readmissions for surgical site infections in Italy. The European Journal of Public Health. 2018 Jun 1;28(3):421-5. [1093/eurpub/ckx205 ] [PMID]

  • Receive Date 07 July 2024
  • Revise Date 29 October 2024
  • Accept Date 24 November 2024