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Implementation and testing of interdisciplinary decision support tools to standardize discharge planning
Kathryn H Bowles1, Diane E Holland, Sheryl L Potashnik
1University of Pennsylvania School of Nursing, Philadelphia, PA, USA;
This study introduces two decision support tools, the Early Screen for Discharge Planning (ESDP) and the Discharge Decision Support System (D(2)S(2)), to improve patient care transitions. Real-world implementation experiences and findings are shared to guide future adoption.
Area of Science:
- Healthcare Management
- Clinical Informatics
- Patient Care Coordination
Background:
- Improving transitions in care is a global health priority.
- Acute care patient transitions involve complex, multi-step processes requiring interventions.
- Standardization and support are needed for critical decision points in care transitions.
Purpose of the Study:
- To share real-world experiences in implementing decision support tools for patient care transitions.
- To detail the development and utilization of the Early Screen for Discharge Planning (ESDP) and Discharge Decision Support System (D(2)S(2)).
- To provide insights into implementation considerations, automation suggestions, and study findings.
Main Methods:
- Development of evidence-based, interdisciplinary decision support tools: ESDP and D(2)S(2).
- Implementation of these tools in clinical settings.
- Analysis of implementation experiences, including challenges and successes.
- Sharing findings from a recent implementation study.
Main Results:
- Successful development of ESDP and D(2)S(2) for critical care transition decisions.
- Gathering of "real life" implementation experiences and considerations.
- Identification of suggestions for process automation.
- Presentation of findings from a recent implementation study.
Conclusions:
- Decision support tools like ESDP and D(2)S(2) can address critical needs in patient care transitions.
- Implementation experiences offer valuable lessons for future adoption and optimization.
- Standardizing decision points can enhance the efficiency and effectiveness of care transitions.
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