A conceptual framework for improved analyses of 72-hour return cases.

Link to article at PubMed

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A conceptual framework for improved analyses of 72-hour return cases.

Am J Emerg Med. 2014 Aug 7;

Authors: Shy BD, Shapiro JS, Shearer PL, Genes NG, Clesca CF, Strayer RJ, Richardson LD

Abstract
For more than 25 years, emergency medicine researchers have examined 72-hour return visits as a marker for high-risk patient visits and as a surrogate measure for quality of care. Individual emergency departments frequently use 72-hour returns as a screening tool to identify deficits in care, although comprehensive departmental reviews of this nature may consume considerable resources. We discuss the lack of published data supporting the use of 72-hour return frequency as an overall performance measure and examine why this is not a valid use, describe a conceptual framework for reviewing 72-hour return cases as a screening tool, and call for future studies to test various models for conducting such quality assurance reviews of patients who return to the emergency department within 72 hours.

PMID: 25303847 [PubMed - as supplied by publisher]

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