28-Day emergency surgical re-admission rates as a clinical indicator of performance

Ann R Coll Surg Engl. 2003 Mar;85(2):75-8. doi: 10.1308/003588403321219803.


With the introduction of clinical governance, the NHS Executive has identified 28-day emergency re-admission rates as a clinical indicator to be used to assess and compare performance between NHS trusts. We undertook a 3-month retrospective audit of patients identified from the trust computer as having been re-admitted as an emergency within 28 days of discharge from the general surgical division. We wanted to examine reasons for re-admission, possible errors in coding and any preventable factors in these patients subsequently re-admitted acutely.

MeSH terms

  • Clinical Competence / standards*
  • Diagnostic Errors
  • Emergencies
  • Emergency Service, Hospital / standards*
  • Emergency Service, Hospital / statistics & numerical data
  • Hospital Information Systems / standards
  • Humans
  • Length of Stay
  • Medical Audit
  • Middle Aged
  • Patient Readmission / statistics & numerical data*
  • Postoperative Complications / epidemiology*
  • Quality Indicators, Health Care*
  • Retrospective Studies
  • Surgery Department, Hospital / standards*
  • Surgery Department, Hospital / statistics & numerical data
  • United Kingdom