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Essay / Research Paper Abstract
A 6 page paper reviewing a nursing research article. The study sought to determine quality of care on the basis of hospital readmissions rather than on the more common mortality. Includes a concept map of the components of the study. Bibliography lists 5 sources.
Page Count:
6 pages (~225 words per page)
File: CC6_KSnursArtRevMeth.rtf
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Unformatted sample text from the term paper:
"Analyzing Hospital Readmissions Analyzing Hospital Readmissions Using Statewide Discharge Databases" develops a method of collecting data from "existing, diverse, hospital discharge databases to
measure quality of care for eleven Diagnostic Related Groups" (DRGs) based on the rates at which patients were rehospitalized for the same or related conditions. This value constitutes a
core measure; the purpose here is to analyze the method developed by the authors. 1. Why did the authors select hospital readmissions as a way to evaluate the quality of care
for these DRGs? Patient mortality has been a traditional indicator, but mortality fails to account for many of the conditions for which patients
are hospitalized. Readmissions "evaluate the impact of acute care on patients who did not expire ... [and] they identify the extent to which patients are subjected to the risks
and costs of repeat hospitalization" (Lagoe, Noetscher, Hohner and Schmidt, 1999; p. 58). 2. Define and describe the two components which the authors selected to measure the quality of care in
the eleven DRGs. A. "Identification of utilization characteristics of hospital readmissions" (Lagoe, et al., 1999; p. 63). The authors define risk of readmission as
the "number of initial admissions with at least one readmission divided by total discharges excluding deaths" (Lagoe, et al., 1999; p. 63). Additionally, this component included number of readmissions;
readmission rate; and inpatient days resulting from readmission (Lagoe, et al., 1999). B. "Identification of relationships between hospital readmissions and LOS" (Lagoe, et al., 1999; p. 63) (length of stay).
This component included three specific items: * "Mean acute hospital stays for discharges not followed by readmissions;" * "Mean acute hospital stays for discharges
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