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. 2014 Apr;19(2):149-61.
doi: 10.1111/jspn.12064. Epub 2014 Feb 6.

Developing and testing a discharge planning decision support tool for hospitalized pediatric patients

Diane E Holland  1 , Patricia M Conlon, Gina M Rohlik, Kris L Gillard, Angie L Tomlinson, Dawn M Raadt, Onalee R Finseth, Lori M Rhudy
Affiliations

Developing and testing a discharge planning decision support tool for hospitalized pediatric patients

Diane E Holland et al. J Spec Pediatr Nurs. 2014 Apr.

Abstract

Purpose: To develop and test a decision support tool that identifies patients who would benefit from early consult with discharge planners.

Design and methods: A predictive, correlational design was used with parents/guardians of children (1 month to 18 years; N = 197). Data were collected by interviews and record reviews. Expert consensus determined referral to discharge planning.

Results: Mean age was 8.7 years; mean length of stay was 7.5 days. Forty percent (n = 79) were identified for early referral. The variable "substantial post-acute care needs" had the strongest association with expert consensus (internally validated AUC = 0.79).

Practice implications: Findings from this study provide preliminary evidence for a decision support tool to improve the discharge planning process by reducing individual decision-making variability through systematic matching of patient needs to service delivery.

Keywords: Decision support; discharge planning; pediatrics.

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