Capturing Readmission Internationally to Prevent Readmission by Safer@Home
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 1,000
- 试验地点
- 8
- 主要终点
- Percentage of readmissions deemed preventable by patients, their informal carers, nurses and physicians
研究概览
简要总结
CURIOS@ is a prospective multi-centre cross-sectional study to investigate readmissions in participating units. The data collected is derived from two clinical episodes: the episode containing the re-admission and the previous admission (index admission).
The main aims are:
Outcomes:
- Risk factors to predict preventable readmissions in non-surgical patients
- Percentage of subjectively non-preventable and preventable readmissions from patient, carer, their nurses and their physician's point of view
- Comparison for risk factors on readmissions throughout Europe
- Increasing awareness and knowledge for health-care workers on readmissions and its preventability
详细描述
Data will be derived directly from patients, from the clinical notes of the previous admission and records of discharge communication. Also information from treating physicians, nurses and immediate caregivers will be collected. The data set will contain no directly identifiable variables (data will be registered by using a research code for each patient).
Data collection will include: Hospital-related data, patient-related data, health-related data, time-related data, and physician related data. Also patient feedback is requested.
After obtaining written informed consent, the researcher will ask the patient 7 questions about the (preventability of their) readmission. Also the patient will be asked if one of the direct carers can be approached with 2 questions. The carer will most often be a sibling, a good friend or someone from the neighborhood. We will approach the carer in person or by telephone, and only after explicit permission from the patient. Lastly, we will ask a doctor and nurse (responsible for the patient in the first 24 hours of his readmission) similar questions.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Percentage of readmissions deemed preventable by patients, their informal carers, nurses and physicians
时间窗: 1 year
Of all the readmissions in the study, we will look at the readmissions which are deemed potentially preventable (YES or NO) by all partners of care chain. In the end this will give us a percentage of readmissions judged as potentially preventable by all partners of care chain.
次要结局
- Risk factors for preventable readmissions(1 year)
- Causes of preventable readmissions(1 year)
研究者
Prabath W.B. Nanayakkara
PhD, MD, FRCP
Amsterdam UMC, location VUmc