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

作者：Holland Diane E^*; Conlon Patricia M; Rohlik Gina M; Gillard Kris L; Tomlinson Angie L; Raadt Dawn M; Finseth Onalee R; Rhudy Lori M

来源：Journal for Specialists in Pediatric Nursing, 2014, 19(2): 149-161.

DOI：10.1111/jspn.12064

• Decision support
• discharge planning
• pediatrics

PurposeTo develop and test a decision support tool that identifies patients who would benefit from early consult with discharge planners.
Design and MethodsA 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.
ResultsMean 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 ImplicationsFindings 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.

• 出版日期2014-4