The rates of hospital admissions and return visits to a rapidly growing pediatric emergency department as measures of quality of care

• Main Authors: Amit Keret, Yakir Shir, Shepard Schwartz, Elihay Berliner, Mattityahu Erlichman, Giora Weiser
• Format: Article
• Language: English
• Published: BMC 2020-08-01
• Series: Israel Journal of Health Policy Research
• Subjects: Return visits; Pediatric emergency department; Admissions; Patient education
• Online Access: http://link.springer.com/article/10.1186/s13584-020-00397-y
• ISSN: 2045-4015

Abstract Background Return visits to the emergency department are viewed as a quality measure of patient management. Avoiding unnecessary admissions to the ward can potentially cause an increase in return visits, thus effecting quality assessment. Methods After implementing an educational process the relationship between admissions and return visits was assessed over time at a rapidly growing pediatric emergency department. Results There was a 264% increase in visits from 2004 to 2017. In the study period admission rates declined from 25 to 14%. This was achieved without a rise in return visits and with a stable percentage of admissions from return visits. Conclusions Interventions aimed at decreasing unnecessary admissions do not lead to increased return visits and return visit admissions.