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

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

Research output: Contribution to journalArticle

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)149-161
Number of pages13
JournalJournal for specialists in pediatric nursing : JSPN
Volume19
Issue number2
DOIs
StatePublished - Apr 1 2014

Keywords

  • Decision support
  • discharge planning
  • pediatrics

ASJC Scopus subject areas

  • Pediatrics

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