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Preventing Avoidable Rehospitalizations by Understanding the Characteristics of Frequent Fliers

Mulder, Barbara J. MS, RN; Tzeng, Huey-Ming PhD, RN; Vecchioni, Nancy D. MSN, RN

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e318229fddc

This project used chart review to evaluate 22 patients labeled as “frequent fliers,” each with 4 to 8 readmissions over a 6-month period at a Michigan community hospital. The goal was to identify whether the 4 key elements identified by the Institute for Healthcare Improvement for reducing rehospitalization had been put into place for these patients. It found that a clear discharge plan was only documented for 15 (68%) of the 22 patients. Better coordinated care is warranted.

Author Information

Department of Patient Safety & Quality (Ms Mulder), Battle Creek Health System, Battle Creek, Michigan; Department of Nursing (Dr Tzeng), School of Health Professions and Studies, The University of Michigan-Flint, Flint, Michigan; and Michigan Peer Review Organization (Ms Vecchioni), Farmington Hills, Michigan.

Correspondence: Huey-Ming Tzeng, PhD, RN, Department of Nursing, School of Health Professions and Studies, The University of Michigan-Flint, 303 E Kearsley St, 2180 WS White Bldg, Flint, MI 48502 (

The authors declare no conflict of interest.

Accepted for publication: June 20, 2011.

Published online before print: July 29, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.