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Raadt, Dawn M.

Mayo Clinic

Mayo Clinic

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Developing and testing a discharge planning decision support tool for hospitalized pediatric patients
Holland, Diane E. , Conlon, Patricia M. , Rohlik, Gina, Gillard, Kris L., Tomlinson, Angie L., Raadt, Dawn M., Finseth, Onalee R., Rhudy, Lori M. , Tomlinson, Angie L., Finseth, Onalee

Journal for Specialists in Pediatric Nursing | February 7, 2014 | Volume: 19 | Issue: 2 | Pages: 149-161

10.1111/jspn.12064 Get It

AbstractPurposeTo 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.