Document Type

Article

Language

eng

Format of Original

14 p.

Publication Date

2-2014

Publisher

Wiley

Source Publication

Health Services Research

Source ISSN

0017-9124

Original Item ID

doi: 10.1111/1475-6773.12092

Abstract

Objective: To validate patient and nurse short forms for discharge readiness assessment and their associations with 30-day readmissions and emergency department (ED) visits.

Data Sources/Study Setting: A total of 254 adult medical-surgical patients and their discharging nurses from an Eastern US tertiary hospital between May and November, 2011. Study Design Prospective longitudinal design, multinomial logistic regression analysis.

Data Collection/Extraction Methods: Nurses and patients independently completed an eight-item Readiness for Hospital Discharge Scale on the day of discharge. Patient characteristics, readmissions, and ED visits were electronically abstracted.

Principal Findings: Nurse assessment of low discharge readiness was associated with a six- to nine-fold increase in readmission risk. Patient self-assessment was not associated with readmission; neither was associated with ED visits.

Conclusions: Nurse discharge readiness assessment should be added to existing strategies for identifying readmission risk.

Comments

Accepted version. Health Services Research, Vol. 49, No. 1 (February 2014): 304-317. DOI. © Wiley 2014. Used with permission.

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