%0 Journal Article %T The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran %J Hospital Practices and Research %I Baqiyatallah University of Medical Sciences %Z 2476-390X %A Ebrahimi, Parvin %A Taghi Nattaj Darzi Naghibi, Mohammadali %A Vatankhah, Soudabeh %A Faghanzadeh Ganji, Ghassem %D 2019 %\ 06/01/2019 %V 4 %N 2 %P 62-67 %! The Relationship Between Performance Indicators and Readmission of Patients With Open Heart Surgery: A Case Study in Iran %K Patient Readmission %K Cardiac Surgery %K Hospitalization %K Quality indicators %R 10.15171/hpr.2019.11 %X Background: Open heart surgery is a prevalent therapeutic intervention for cardiovascular diseases. Significant adverse effects occur after heart surgery, one of which is patient readmission to the hospital. Objective: The present study aimed to determine the relationship between performance indicators and the readmission of patients with open heart surgery in a teaching hospital in Iran. Methods: This study was performed using a cross-sectional and descriptive method with a retrospective approach. Data was collected on a data collection form. The statistical population of this study comprised all patients who underwent open heart surgery from mid-September 2015 to mid-September 2016 in a teaching hospital in the north of Iran (n=849). Those patients readmitted to the hospital within 90 days after discharge, based on a review of patient records, were included in the study. Descriptive statistics and Spearman correlation coefficient were used for data analysis by SPSS 20. Results: Among the patients who had open heart surgery in the selected hospital, 12.5% were readmitted within 90 days after discharge. The most important reasons for readmission in this study were infection in surgery place (25.8%), pleural effusion (18.7%), warfarin toxicity (9.8%), and tamponade (8.9%). There were inverse relationships between patient readmission and the two performance indicators of bed occupancy percentage (r = -0.594, P = 0.042) and bed turnover rate (r = -0.664, P = 0.018). There were no statistically significant relationships between any of the other indicators (length of stay, mortality, and bed turnover interval) and readmission rate (P > 0.1). Conclusion: Hospital authorities can use these results for bed management and targeting interventions to reduce costs and readmissions as a measure of hospital quality. However, further research into readmission factors in other hospitals is recommended. %U https://www.jhpr.ir/article_88866_7307b3cc04d3d4182a0f97651eabccc7.pdf