Supporting Occupational Therapists in Predischarge Home Visit Decision-Making: Development and Evaluation of a Decision-Making Support Tool.

The 'correct' answer for decision accuracy was determined by consensus among only three expert therapists, which may not reflect broader clinical standards. Therapists were involved in the tool's development or were aware of the clinical need for it, which may have biased their ratings of clinical utility. The study did not measure actual patient outcomes or resource utilization, only therapist perceptions and decision accuracy in case studies. Satisfaction measures for consumers and the multidisciplinary team were limited, with high ratings regardless of tool use, suggesting they may not have been sensitive enough to detect changes.

Ethical approval was granted by the Hospital Human Research Ethics Committee. No specific funding sources or conflicts of interest are declared in the provided text.

Do not assume the tool improves patient outcomes or reduces resource use. The study only showed improved accuracy in hypothetical case decisions and unchanged self-reported confidence. The definition of 'accurate' was based on a small panel of three experts, not on actual clinical results.