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

doi:10.1111/jspn.12064

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

Nursing Research

Research output: Contribution to journal › Article › peer-review

3 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 language	English (US)
Pages (from-to)	149-161
Number of pages	13
Journal	Journal for specialists in pediatric nursing : JSPN
Volume	19
Issue number	2
DOIs	https://doi.org/10.1111/jspn.12064
State	Published - Apr 1 2014

Keywords

Decision support
discharge planning
pediatrics

ASJC Scopus subject areas

Pediatrics

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10.1111/jspn.12064

Cite this

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title = "Developing and testing a discharge planning decision support tool for hospitalized pediatric patients",

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",

author = "Holland, {Diane E.} and Conlon, {Patricia M.} and Rohlik, {Gina M.} and Gillard, {Kris L.} and Tomlinson, {Angie L.} and Raadt, {Dawn M.} and Finseth, {Onalee R.} and Rhudy, {Lori M.}",

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doi = "10.1111/jspn.12064",

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T1 - Developing and testing a discharge planning decision support tool for hospitalized pediatric patients

AU - Holland, Diane E.

AU - Conlon, Patricia M.

AU - Rohlik, Gina M.

AU - Gillard, Kris L.

AU - Tomlinson, Angie L.

AU - Raadt, Dawn M.

AU - Finseth, Onalee R.

AU - Rhudy, Lori M.

PY - 2014/4/1

Y1 - 2014/4/1

N2 - 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.

AB - 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.

KW - Decision support

KW - discharge planning

KW - pediatrics

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

Abstract

Keywords

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