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Predicting Readmission Among High-Risk Discharged Patients Using a Machine Learning Model With Nursing Data: Retrospective Study

Predicting Readmission Among High-Risk Discharged Patients Using a Machine Learning Model With Nursing Data: Retrospective Study

Predicting a patient’s readmission should be done from the beginning of hospitalization so that a patient-tailored discharge plan can be established and reflected in treatment. It is necessary to actively utilize nursing data containing comprehensive information [11,12]. Therefore, this study aimed to develop a readmission early prediction model utilizing nursing data, including physical, mental, and social information for high-risk discharge patients.

Eui Geum Oh, Sunyoung Oh, Seunghyeon Cho, Mir Moon

JMIR Med Inform 2025;13:e56671

Revisits, Readmission, and Mortality From Emergency Department Admissions for Older Adults With Vague Presentations: Longitudinal Observational Study

Revisits, Readmission, and Mortality From Emergency Department Admissions for Older Adults With Vague Presentations: Longitudinal Observational Study

For syncope patients, admission carried a greater unadjusted risk than a discharge of 30-day revisits (RD=2.5%, 95% CI 0.0 to 5.0). Unadjusted and adjusted estimates (95% CI) of risk differences (RD) for 30-day revisits, comparing admission to discharge (reference). Adjusted estimates account for latent health state and measured variables. a UTI: urinary tract infection.

Sebastian Alejandro Alvarez Avendano, Amy Cochran, Valerie Odeh Couvertier, Brian Patterson, Manish Shah, Gabriel Zayas-Caban

JMIR Aging 2025;8:e55929

A Comparison of Patient and Provider Perspectives on an Electronic Health Record–Based Discharge Communication Tool: Survey Study

A Comparison of Patient and Provider Perspectives on an Electronic Health Record–Based Discharge Communication Tool: Survey Study

However, there is a scarcity of research comparing the perspectives of older adult patients and health care providers with concordance measures for a large-scale technology-based discharge communication tool. Measuring and comparing the alignment between patient and provider perspectives enables the unveiling of true shared understanding in terms of discharge education [14].

Dorothy Yingxuan Wang, Eliza Lai-Yi Wong, Annie Wai-Ling Cheung, Kam-Shing Tang, Eng-Kiong Yeoh

JMIR Aging 2025;8:e60506

Feasibility of Measuring Smartphone Accelerometry Data During a Weekly Instrumented Timed Up-and-Go Test After Emergency Department Discharge: Prospective Observational Cohort Study

Feasibility of Measuring Smartphone Accelerometry Data During a Weekly Instrumented Timed Up-and-Go Test After Emergency Department Discharge: Prospective Observational Cohort Study

A growing body of evidence indicates that these individuals face high risks of adverse outcomes after ED discharge, including falls [2] and functional decline [3]. While guidelines aim to identify those at risk of poor outcomes [4], existing fall risk screening tools using data at the time of the ED encounter have limited ability to predict which patients will fall [2].

Brian Suffoletto, David Kim, Caitlin Toth, Waverly Mayer, Sean Glaister, Chris Cinkowski, Nick Ashenburg, Michelle Lin, Michael Losak

JMIR Aging 2024;7:e57601

Quality Improvement Intervention Using Social Prescribing at Discharge in a University Hospital in France: Quasi-Experimental Study

Quality Improvement Intervention Using Social Prescribing at Discharge in a University Hospital in France: Quasi-Experimental Study

In parallel to primary health care, another entry point of SP could be hospital discharge time. Hospital discharge is a transition period of paramount importance, both in terms of hospital efficiency/effectiveness [16] and quality of care [17]. Discharge coordination (DC) has been tested for years, especially in North America and Japan, to reduce the rate of readmission within 30 days, also with mixed results [18-20].

Johann Cailhol, Hélène Bihan, Chloé Bourovali-Zade, Annie Boloko, Catherine Duclos

JMIR Form Res 2024;8:e51728

Predicting Postoperative Hospital Stays Using Nursing Narratives and the Reverse Time Attention (RETAIN) Model: Retrospective Cohort Study

Predicting Postoperative Hospital Stays Using Nursing Narratives and the Reverse Time Attention (RETAIN) Model: Retrospective Cohort Study

For example, Safavi et al [7] have suggested a feedforward neural network model comprising clinical and administrative data extracted from EHRs to predict discharge from inpatient surgical care. Zhang et al [8] have investigated a prediction model for next-day discharge using EHR access logs combined with gradient-boosted ensembles of decision trees. For this study, we refer to Stone et al [9] for a comprehensive review of the prediction of hospital LOS.

Sungjoo Han, Yong Bum Kim, Jae Hong No, Dong Hoon Suh, Kidong Kim, Soyeon Ahn

JMIR Med Inform 2023;11:e45377

Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation

Dashboard of Short-Term Postoperative Patient Outcomes for Anesthesiologists: Development and Preliminary Evaluation

The POFU registry is maintained by PACU clerks and nurses, who record day-surgery patient information and short-term outcomes from PACU and then follow-up with families via telephone to gather patient-reported outcomes at 24 hours post discharge. These data are recorded using the Research Electronic Data Capture (REDCap) web application (Vanderbilt University) [11,12] hosted locally.

Rama Syamala Sreepada, Ai Ching Chang, Nicholas C West, Jonath Sujan, Brendan Lai, Andrew K Poznikoff, Rebecca Munk, Norbert R Froese, James C Chen, Matthias Görges

JMIR Perioper Med 2023;6:e47398

Intensive Care Unit Physicians’ Perspectives on Artificial Intelligence–Based Clinical Decision Support Tools: Preimplementation Survey Study

Intensive Care Unit Physicians’ Perspectives on Artificial Intelligence–Based Clinical Decision Support Tools: Preimplementation Survey Study

The aim of the questions in this domain was to investigate current decision-making and whether the discharge AI-CDS tool could be of benefit in terms of the complexity of the discharge decision and the predicted outcome. The first 3 statement questions investigated the complexity of the decision to discharge ICU patients and the influence of readmission risk and bed availability on this decision.

Siri L van der Meijden, Anne A H de Hond, Patrick J Thoral, Ewout W Steyerberg, Ilse M J Kant, Giovanni Cinà, M Sesmu Arbous

JMIR Hum Factors 2023;10:e39114

Effectiveness of a Diabetes-Focused Electronic Discharge Order Set and Postdischarge Nursing Support Among Poorly Controlled Hospitalized Patients: Randomized Controlled Trial

Effectiveness of a Diabetes-Focused Electronic Discharge Order Set and Postdischarge Nursing Support Among Poorly Controlled Hospitalized Patients: Randomized Controlled Trial

All patients received standard discharge instructions using the EMR, which features medication reconciliation, prescription generation, disease-specific instructions, and follow-up appointments. Hospital discharge was coordinated by the primary team and case manager, who arranged follow-up and any additional needs, such as transportation before discharge. A discharge summary is sent to the primary care provider of the records per routine practice.

Audrey White, David Bradley, Elizabeth Buschur, Cara Harris, Jacob LaFleur, Michael Pennell, Adam Soliman, Kathleen Wyne, Kathleen Dungan

JMIR Diabetes 2022;7(3):e33401

The Association of Medical Preoperative Evaluation Using Clinical Video Telehealth With Hospital Length of Stay: Descriptive Analysis

The Association of Medical Preoperative Evaluation Using Clinical Video Telehealth With Hospital Length of Stay: Descriptive Analysis

Patients seen in our preoperative CVT program, which started in July 2014, were compared to patients who had in-person visits to evaluate the association of visit type (preoperative CVT versus in-person) with hospital length of stay, defined as hospital stay from postoperative day 0 to discharge. We extracted data from 2016 to 2017. Preoperative CVT involves a thorough history and a full airway exam.

Brittany Nicole Burton, Sara Arastoo, Simon Wu, Nancy Liu, Michael K Ong, Sondra Vazirani

JMIR Form Res 2022;6(7):e38054