Matches in SemOpenAlex for { <https://semopenalex.org/work/W2591225052> ?p ?o ?g. }
Showing items 1 to 70 of
70
with 100 items per page.
- W2591225052 abstract "250 Background: Policymakers have identified 30-day readmissions as an important quality indicator of poor care or coordination of care. Among cancer centers, there is no benchmark data in terms of readmission rates or recommendations in terms of risk adjustment models. Methods: Retrospective data analysis to estimate baseline readmission rate and identify risk factors. Interventions: (1)admitting to single floor, (2) twice weekly interdisciplinary meetings with using risk assessment tool–Cancer Outcomes Augmented through Safe Transitions (COAST) tool, and (3) re-evaluate readmission rate post intervention at 6 months and 1 year. Results: Unplanned readmission rate on the Hospitalist Service at MD Anderson was 21.5% at baseline. After 6 months of interventions, our readmission rate over 6 months was 23.3%. Age 45-65, having Medicare insurance, and being discharged to hospice were protective of a readmission. Distant metastases and having more comorbidities were associated with increased risk for readmission. Readmitted patients have a greater length of stay (7 days) and a higher average cost of inpatient stay ($20.3K vs. 17.9K). The median days to readmission was 11 days. Top comorbidities: hypertension, fluid and electrolyte disorders, anemia, diabetes mellitus, and abnormal weight loss. Top reasons: metastatic disease, biliary tract disease, GI hemorrhage, intestinal obstruction, septicemia, renal failure. Conclusions: Our project has provided insight into the rates and risk factors for readmission in oncology hospitalist service in a tertiary cancer center. The development of web-based COAST risk assessment tool is expected to give an improved understanding of our patient population. Although our readmission rates have not shown decrease over the 6 months after our interventions, this means that more interventions and more time may be necessary to impact readmission rates of services dealing with complex cancer patients. Additionally, a proportion of these unplanned readmissions in cancer patients may not be preventable. Benchmark data we have presented and that we continue to collect will help inform recommendations for effective transitions of care, patient safety practices as well as strategies for reducing readmission rates in cancer centers." @default.
- W2591225052 created "2017-03-03" @default.
- W2591225052 creator A5002413103 @default.
- W2591225052 creator A5006361391 @default.
- W2591225052 creator A5011736297 @default.
- W2591225052 creator A5032299258 @default.
- W2591225052 date "2014-10-20" @default.
- W2591225052 modified "2023-09-23" @default.
- W2591225052 title "Augmentation of cancer outcomes through safe transitions." @default.
- W2591225052 doi "https://doi.org/10.1200/jco.2014.32.30_suppl.250" @default.
- W2591225052 hasPublicationYear "2014" @default.
- W2591225052 type Work @default.
- W2591225052 sameAs 2591225052 @default.
- W2591225052 citedByCount "0" @default.
- W2591225052 crossrefType "journal-article" @default.
- W2591225052 hasAuthorship W2591225052A5002413103 @default.
- W2591225052 hasAuthorship W2591225052A5006361391 @default.
- W2591225052 hasAuthorship W2591225052A5011736297 @default.
- W2591225052 hasAuthorship W2591225052A5032299258 @default.
- W2591225052 hasConcept C111368507 @default.
- W2591225052 hasConcept C121608353 @default.
- W2591225052 hasConcept C126322002 @default.
- W2591225052 hasConcept C12725497 @default.
- W2591225052 hasConcept C127313418 @default.
- W2591225052 hasConcept C159110408 @default.
- W2591225052 hasConcept C167135981 @default.
- W2591225052 hasConcept C177713679 @default.
- W2591225052 hasConcept C194828623 @default.
- W2591225052 hasConcept C27415008 @default.
- W2591225052 hasConcept C2780665704 @default.
- W2591225052 hasConcept C71924100 @default.
- W2591225052 hasConceptScore W2591225052C111368507 @default.
- W2591225052 hasConceptScore W2591225052C121608353 @default.
- W2591225052 hasConceptScore W2591225052C126322002 @default.
- W2591225052 hasConceptScore W2591225052C12725497 @default.
- W2591225052 hasConceptScore W2591225052C127313418 @default.
- W2591225052 hasConceptScore W2591225052C159110408 @default.
- W2591225052 hasConceptScore W2591225052C167135981 @default.
- W2591225052 hasConceptScore W2591225052C177713679 @default.
- W2591225052 hasConceptScore W2591225052C194828623 @default.
- W2591225052 hasConceptScore W2591225052C27415008 @default.
- W2591225052 hasConceptScore W2591225052C2780665704 @default.
- W2591225052 hasConceptScore W2591225052C71924100 @default.
- W2591225052 hasLocation W25912250521 @default.
- W2591225052 hasOpenAccess W2591225052 @default.
- W2591225052 hasPrimaryLocation W25912250521 @default.
- W2591225052 hasRelatedWork W1784956005 @default.
- W2591225052 hasRelatedWork W1849408475 @default.
- W2591225052 hasRelatedWork W1993144688 @default.
- W2591225052 hasRelatedWork W2010649192 @default.
- W2591225052 hasRelatedWork W2030630289 @default.
- W2591225052 hasRelatedWork W2086948311 @default.
- W2591225052 hasRelatedWork W2160025087 @default.
- W2591225052 hasRelatedWork W2237897547 @default.
- W2591225052 hasRelatedWork W2469925124 @default.
- W2591225052 hasRelatedWork W2743093715 @default.
- W2591225052 hasRelatedWork W2765884214 @default.
- W2591225052 hasRelatedWork W2777096424 @default.
- W2591225052 hasRelatedWork W2781551130 @default.
- W2591225052 hasRelatedWork W2788227622 @default.
- W2591225052 hasRelatedWork W2804406338 @default.
- W2591225052 hasRelatedWork W2896762517 @default.
- W2591225052 hasRelatedWork W3126422335 @default.
- W2591225052 hasRelatedWork W3162247901 @default.
- W2591225052 hasRelatedWork W3181171989 @default.
- W2591225052 hasRelatedWork W3201478998 @default.
- W2591225052 isParatext "false" @default.
- W2591225052 isRetracted "false" @default.
- W2591225052 magId "2591225052" @default.
- W2591225052 workType "article" @default.