Table 2A–C.
Inappropriately coded non-excluded patients. A. Planned or unrelated surgical admission. B. Medical readmission for non-surgical cause. Interval is number of days between initial admission date and emergency readmission date. C. Coding error. First five patients were never under care of paediatric surgery/urology, and last meets an exclusion criterion.
| A. Initial admission diagnosis | Readmission diagnosis | Error |
|---|---|---|
| Foreign body in colon; endoscopy | Foreign body in colon; removal | Planned |
| Left hydronephrosis | Cystourethroscopy and left JJ stent insertion | Planned |
| Cholelithiasis | Elective laparoscopic cholecystectomy | Planned |
| Undescended testicle, unilateral | Elective insertion of peritoneal dialysis catheter and central line | Planned* |
| Vesicoureteric reflux-associated uropathy; therapeutic cystoscopy | Acute appendicitis | Unrelated |
| *As well as being planned, admission was unrelated and patient met an exclusion criterion due to being on dialysis. | ||
| B. Initial admission diagnosis | Readmission diagnosis | Interval (days) |
|---|---|---|
| Gastrostomy change to button | Acute tonsillitis | 10 |
| Abscess of vulva | Overdose | 23 |
| Change of gastrostomy | Parainfluenza virus pneumonia | 23 |
| Non-specific abdominal pain | Paracetamol overdose | 17 |
| Change of gastrostomy | Epilepsy | 13 |
| Retention of urine and catheterisation | Mixed overdose | 18 |
| Reduction of paraphimosis | Viral upper respiratory tract infection | 27 |
| Elective removal of redundant central line | Fever | 24 |
| Removal of infected central line | Viral pneumonia | 25 |
| Elective excision of lump posterior to right ear | Increased seizure frequency | 13 |
| Elective insertion of portacath | Addisonian crisis | 11 |
| Urinary tract infection | Blocked ventriculoperitoneal shunt | 10 |
| Bladder assessment (non invasive) | Urinary tract infection | 25 |
| C. Initial admission diagnosis | Readmission diagnosis | Error |
|---|---|---|
| Enterocolitis due to Clostridium difficile | Line infection | Gastroenterology |
| Injury finger extensor muscle and tendon | Injury finger extensor muscle and tendon | Orthopaedic |
| Displaced supracondylar humerus fracture | Lesion of ulnar nerve | Orthopaedic |
| Right hip pain | Joint pain and fever | Orthopaedic |
| Viral hepatitis/ sickle cell crisis | Pain in joint, pelvic region and thigh | Paediatric |
| Change of central line | Line sepsis | Age 3y8m |