Will a discharge readiness assessment make an impact on readmission and post-discharge ED visits? AAMC begins research this spring.

Will a discharge readiness assessment make an impact on readmission and post-discharge ED visits? AAMC begins research this spring.

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AAMC’s bedside nurses will be participating in a major research study with broad clinical implications for nursing practice.

Discharge planning is a vital part of patient care. Good discharge planning is essential in preventing readmission and reducing emergency room visits following discharge.

Through research, we know that patient readiness for discharge is associated with a risk of adverse post-discharge outcomes, including readmission. What we don’t know is if implementing a discharge readiness assessment as a standard of nursing practice on the day of discharge results in improved discharge transition care leading to improved outcomes, specifically fewer readmission and ED visits.

AAMC has been selected to participate in the READI (Readiness Evaluation and Discharge Intervention) study in order to advance our understanding of the impact of a discharge readiness assessment on readmission and post-discharge ED visits.

This is a multi-site study of 32 Magnet hospitals, including two hospitals in Saudi Arabia. The study is sponsored by the American Nurses Credentialing Center (ANCC) with goal of engaging clinical nurses in research about their practice, leveraging the power of Magnet Hospitals to engage in large scale research on topics of importance to nursing practice, and creating learning opportunities about nursing research in clinical practice settings.

Two units will be participating in this study, MSU and HVU. MSU will be the intervention unit, where the Readiness for Hospital Discharge Scale-RN form (RN-RHDS) will be administered to discharging patients. HVU will be the control unit, where data on readmissions and post-ED visits will be collected, but no new discharge interventions will be conducted.

Study data is currently being collected. Training for our nurses will take place in May and the RN-RHDS will be used on all discharged patients on MSU beginning June 1, 2015.

In addition to helping to advance the science of nursing, AAMC is participating in this study to improve our discharge practices. Our plan is to roll out the scale to other units once this study is completed in 2016. As well, this is a wonderful opportunity to engage our bedside nurses in participating in a major research study with broad clinical implications for nursing practice.

Please feel free to contact Cathaleen Ley at cley@aahs.org for more information about this study. -Cathaleen Ley, PhD, RN

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