Exploring the Causes of Unplanned Readmission within Discharge : A Study at Medical Center

• Main Authors: FU, WEI-TING, 傅瑋婷
• Other Authors: PAN, CHUNG-YU
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/5zqa2n

碩士 === 東海大學 === 工業工程與經營資訊學系 === 106 === The purpose of this study was to explore the characteristics of unplanned readmission of patients after discharge from a synthetic ward at a medical center. Retrospective method was implemented to collect 119 patients from September 1, 2016 to February 28, 2017. Discussion on the related factors of unplanned emergency re-administered within 3 days and re-hospitalization within 14 days after discharge, including patients, diseases and hospital factors. The study was about gender, age, cancer, comorbidity, department, the length of previous hospitalization, and the reason of hospitalization. Data was analyzed by descriptive statistic, Chi-square test and independent sample t test. The results showed that there was no significant difference in gender, age, the length of previous hospitalization, department, and comorbidity. There is a significant correlation with whether the patient has cancer. In fact, reasons for emergency re-administered within 3 days are fever (27.8%), pain (25%), urinary tract symptoms (23.2%), and respiratory distress (14.3%). As to reasons for re-hospitalization within 14 days are with new problems (56.3 %), the treatment or postoperative complications (17.2%), and post-chemotherapy complications (12.5%). It is expected that the results of this study could be a reference for hospital administrators to draw up improvement plans to reduce unplanned readmission rates and increase the quality of care of inpatients.