Discharge decision-making after complex surgery: Surgeon behaviors compared to predictive modeling to reduce surgical readmissions

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• 作者：Ira L. Leeds^a ; ^d ; ^{ileeds@jhmi.edu} ; Vjollca Sadiraj^b ; James C. Cox^b ; Xiaoxue Sherry Gao^b ; Timothy M. Pawlik^a ; Kurt E. Schnier^c ; John F. Sweeney^d
• 关键词：Hospital readmission ; Computer-assisted decision-making ; Logit model ; Decision support
• 刊名：The American Journal of Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：213
• 期：1
• 页码：112-119
• 全文大小：519 K
• 卷排序：213

文摘

Define the association between information used for discharge after surgery and patients’ subsequent risk of readmission. Surgical patients were analyzed to identify criteria that statistically explained the timing of discharges. The same data were also used to develop a time varying prediction model of unplanned hospital readmissions. The models demonstrated discrepancy between what surgeons behaviourally used for discharge decision versus factors for preventing readmission.