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Unscheduled Emergency Department Revisits Within 48 Hours of Discharge
Authors
María Florencia Grande Ratti, Ignacio Martingano, Paula Daniela Otero, Carlos Martin Otero, Juan María Farina, Luciana Rubin, Daniel Luna, Jorge Ariel Esteban, Ana Soledad Pedretti, María de la Paz Rodríguez, Micaela Sanchez Del Cid, Bernardo Julio Martínez
This study aimed to analyze early revisits (within 48 hours of discharge) in an Emergency Department. Among the 178,295 visits, 11,686 were revisits, resulting in a rate of 6.55% (95%CI 6.43-6.67). A total of 1,410 revisits required hospitalization, and 252 were due to preventable errors (17.87%). These errors were mainly related to an inadequate therapeutic plan at discharge (47.22%), an incomplete diagnostic process (29.37%), and misdiagnoses (13.10%). These findings represent a technology-enabled clinical audit tool. Electronic Healthcare Records have the potential to: provide quality metrics of hospital performance, help to keep revisit rates updated (assessment through a real-time dashboard), and improve clinical management (by transparency initiatives about errors, and a supportive learning environment regarding lessons learned).
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