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Comparison of Parent Report with Administrative Data to Identify Pediatric Reutilization Following Hospital Discharge
Author(s) -
Statile Angela M,
White Christine M,
Sucharew Heidi J,
Moore Margo,
TubbsCooley Heather L,
Simmons Jeffrey M,
Shah Samir S,
Auger Katherine A
Publication year - 2019
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.12788/jhm.3200
Subject(s) - medicine , hospital discharge , patient discharge , recall , medical record , health care , medical emergency , emergency department , family medicine , emergency medicine , medline , nursing , intensive care medicine , political science , law , economics , radiology , economic growth , linguistics , philosophy
Healthcare providers rely on historical data reported by parents to make medical decisions. The Hospital to Home Outcomes (H2O) trial assessed the effects of a onetime home nurse visit following pediatric hospitalization for common conditions. The H2O primary outcome, reutilization (hospital readmission, emergency department visit, or urgent care visit), relied on administrative data to identify reutilization events after discharge. We sought to compare parent recall of reutilization events two weeks after discharge with administrative records. Agreement was relatively high for any reutilization (kappa 0.74); however, this high agreement was driven by agreement between sources when no reutilization occurred (sources agreed 98%‐99%). Agreement between sources was lower when reutilization occurred (48%‐76%). Some discrepancies were related to parents misclassifying the site of care. The possibility of inaccurate parent report of reutilization has clinical implications that may be mitigated by confirmation of parent‐reported data through verification with additional sources, such as electronic health record review.