24hr ICU Bounce Backs – Guide

Accessing the 24hr ICU Bounce Backs Section

To access the 24hr ICU Bounce Back section, select the Outcomes Module located on the left side of the screen. 24hr ICU Bounce Backs will be the last section on the page, click the arrow on the right side of the screen to expand the window and view the section. 24hr Bounce Back section includes three visualizations charting relevant dates of admit and discharge in the ICU.

24hr Bounce Back Volume and Average RI (Last Out & First In)

This graph depicts the frequency of ICU readmissions within 24 hours of a previous discharge to routine or progressive units. It highlights the last valid RI score durin gthe initial ICU stay and the first valid RI score upon return to the ICU. This analysis tracks the trend in bounce-back volume over time, offering insights into the correlation between patient condition and ICU readmissions. Hovering over the graph will highlight the time period providing the total volume of Bounce Backs and Average first RI (return ICU) and last RI (initial ICU).

Percent ICU Bounce Backs of all ICU Admissions

The Percent ICU Bounce Backs of all ICU Admissions graph shows the fluctuation in bounce back rate over time, in relation to the patient's condition (last valid RI score) upon exiting the anchor ICU. It emphasizes the ratio of bounce backs among all transfers into the ICU categorizing the last valid RI score into 5 groupings. Hovering over the graph will highlight the bar graph section providing the bounce back rate and the percentage of the RI group.

24hr Bounce Back Rate by Initial ICU

The 24hr Bounce Back Rate by initial ICU graph identifies areas of opportunity by unit. It focuses on the ratio of bounce backs originating from a particular ICU, calculated as the number of bounce backs from that ICU over the total number of bounce backs. The graph is initially limited to 10 units displayed, allowing for the user to select/deselect the units to graph. Hovering over the graph will highlight the line providing the bounce back rate for the time period.

24hr Bounce Back Patient List

Below the three 24hr Bounce Back visualizations is the patient list, which includes the following patient information:

Visit number
Medical record number
Patient name
Admit date
Discharge date
Facility patient is located
Service line code
Unit patient is located
Unit type
Unit entry date
Unit exit date
Minimum RI score
Maximum RI score
First RI score
Last RI score
Transfer RI score
Exact length of stay
Transfer warning
Highest warning
Prior unit
Prior unit type
Prior unit entry date
Prior unit exit date
Prior unit first RI score
Prior unit last RI score
Prior unit minimum RI score
Prior unit maximum RI score
Prior unit exact length of stay
Last ICU exit RI score

This section displays a comprehensive list of all patients and their data featured in the 24hr ICU Bounce Backs visualizations. In the top left corner, users can search through this list, while also having the option to download it in Excel or CSV format on the top right side of the screen. The bottom left corner offers controls to adjust the number of patients shown per page, with choices od 10, 25, or 50. Additionally, navigation through the patient list is facilitated by front and back arrows located in the bottom right corner.

Patient RI Graphs

Below the Patient List, the user will find a set of RI graphs corresponding to each patient. The number of graphs displayed is determined by the 'Items per page' setting selected in the patients list above.

Users can customize the display at the top of the RI graphs by selecting the Chart Title menu. The options available for customization include:

Visit number
Admission date
Medical record number
Patient name
Full location
Unit & room
Room number
Anonymous

Users can click on a patient's graph to open it in full-screen mode for a larger view. Alternatively, hovering over a patient's graph will provide a concise preview of the patients visit information.