Date Available

4-20-2016

Year of Publication

2016

Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Peggy El-Mallakh

Clinical Mentor

Dr. Zim Okoli

Committee Member

Dr. Jan Findlay

Abstract

In response to the problem of frequent 30 day re-admissions to inpatient psychiatric facilities, Vigod and colleagues (2015) developed the READMIT clinical risk index to identify risk factors for psychiatric inpatient re-admissions. The question addressed in this study was: Can the READMIT clinical risk index be used to identify patients that are at high risk for 30 day inpatient psychiatric re-admissions at Eastern State Hospital? This project used a descriptive retrospective design. Data were extracted from the discharge summaries of patients discharged from Eastern State Hospital between September 2013 and December 2014. Data collected included patient demographic variables (age, gender, race/ethnicity, primary diagnosis, housing status at discharge, employment, long acting injectable at discharge, substance abuse, education, and insurance status) and study variables from the READMIT clinical risk index (repeat admission, emergent admission, age, diagnosis and discharge, medical comorbidity, intensity, and time in hospital). The study population consisted of patients discharged from Eastern State Hospital between September 2013 and December 2014. The inclusion criterion was: ages 18 and above. There were no exclusion criteria. Findings indicated that age, insurance status, previous lifetime admissions, ‘diagnoses and discharge’ scores, and higher READMIT clinical risk index scores were associated with 30 day re-admissions at Eastern State Hospital. Future research should include a prospective study of the READMIT clinical risk index, a logistic regression evaluating its predictability of 30 day re-admissions, and an evaluation to establish the minimum clinical risk index score needed for patients to receive additional interventions post discharge.

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