Key result
A scoping review of emergency readmissions within 28 days of discharge found that between 5% and 59% of readmissions may be avoidable, though studies are highly heterogeneous.
Population
Patients with emergency readmissions within 28 days of discharge from hospital
Design
Review
Authors
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Risk of gaming limits 28-day readmission rates as quality metrics; heterogeneity leaves open standardized avoidability assessment.
While 15-20% of emergency readmissions within 28 days may be avoidable, using this as a performance indicator risks gaming behaviors such as admitting less serious cases or shifting coding.
Nolte et al. (2012) conducted a review in Emergency hospital readmissions. Emergency readmissions within 28 days of discharge as a performance indicator was evaluated on Avoidable readmissions. A scoping review of emergency readmissions within 28 days of discharge found that between 5% and 59% of readmissions may be avoidable, though studies are highly heterogeneous.
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