SHM Converge Scientific Abstract ePoster Gallery-Effect of the Advanced Clinical Practice Nurse-Led Discharge Management and Education on Patients Discharged From an Acute Medical Care Unit Adieu Program

Effect of the Advanced Clinical Practice Nurse-Led Discharge Management and Education on Patients Discharged From an Acute Medical Care Unit Adieu Program

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The study evaluated the Advanced Clinical Practice Nurse-led Discharge Management and Education (ADIEU) program for patients discharged from an Acute Medical Care Unit (AMU), where fast turnover and complex discharge needs can make transitions difficult. Researchers initially enrolled 360 patients from a tertiary hospital in South Korea and used propensity score matching based on age, sex, Charlson Comorbidity Index, and admission reason, resulting in 139 patients in each group.<br /><br />The main outcomes were 30-day readmissions and unexpected emergency room visits within 72 hours after discharge. The ADIEU program significantly reduced 30-day readmissions, with an odds ratio of 0.333 (95% CI: 0.154–0.720, p = 0.005). However, it did not significantly reduce early unexpected ER visits.<br /><br />The program also improved satisfaction with discharge management among healthcare providers and patients. Nurse satisfaction increased from 3.09 to 3.43 on a 5-point Likert scale, physician satisfaction rose from 3.67 to 4.67, and patient satisfaction averaged 4.81 after the program.<br /><br />Overall, the study suggests that ADIEU is an effective discharge support model for AMU patients, particularly in reducing 30-day readmissions and improving satisfaction. While its effect on very short-term ER use was limited, the findings support further testing in larger multicenter studies.

Asset Subtitle

Seungjin Lee

Meta Tag

Author List Eun Sun Kim, Seungjin Lee

Category Research

Concept ADIEU Program

Concept 30-Day Readmission

Concept Discharge Process

Concept Discharge Management

Concept Emergency Department Visits

Distinguished Non-Finalist

Presenter Organization Seoul National University Bundang Hospital

Presenting Author Seungjin Lee

Track Transitions of Care

Keywords

Advanced Clinical Practice Nurse

Discharge Management

Education Program

AMU

30-day Readmission

Emergency Room Visits

Propensity Score Matching

Patient Satisfaction

Healthcare Provider Satisfaction

South Korea

ADIEU Program

30-Day Readmission

Discharge Process

Discharge Management

Emergency Department Visits