Fig. 1

a, b, c, d Theme 1: Shifts in Assessment. Each of the figures represents a conceptual network with one code as the focal code (always in the center of the figure), and relationships to other codes shown. These four figures or conceptual networks together represent the unifying theme of shifts in assessment. The four focal codes used in the four networks are shift in degree of assessment, discharge premature, issues with diagnosis, and complications with medications.Applies to all figures from this point forward: Text bubbles represent the code categories. Color codes for causes of readmission: green, care; orange, education/knowledge; grey, patient/clinical condition; yellow, socioeconomic status. Blue indicates perception of differences between readmissions and admissions. Purple indicates steps taken during the readmission process. Red indicates strategies for preventing future readmissions. One-way relationships are indicated by a unidirectional arrow, and two-way relationships are indicated by a bidirectional arrow. Causal relationships are illustrated by a double-headed arrow. The labels on the lines represent the relationships between the codes. The labels used are: Is a different degree of shift than; Is associated with; Is a; Is cause of; Is part of; Is property of; and Results in