Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings PDF Download
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Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
In this era of patient safety, quality indicators associated with the nursing profession have evolved from nursing-sensitive to adverse event sensitive. This paper aims to compare and contrast available quality indicator ools associated with nurse staffing outcomes. Methods: We conducted a systematic review of literature from the past 6 years, identifying research and/or monitoring efforts reporting structure, process, and/or outcomes measures associated with nursing care. Twenty-four articles were selected, and identified indicators from the National Quality Forum were compared/contrasted with relevant AHRQ Patient Safety Indicators. Results: The results of this study provide an important comparative assessment of the types, content, and intended purpose of available nursing indicators. We found little overlap and direction in the types of indicators available to examine the influence of nurse staffing on the outcomes of care. Further, there are no process measures available. The need for consistent indicator definitions and process measures is addressed.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 12
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Book Description
In this era of patient safety, quality indicators associated with the nursing profession have evolved from nursing-sensitive to adverse event sensitive. This paper aims to compare and contrast available quality indicator ools associated with nurse staffing outcomes. Methods: We conducted a systematic review of literature from the past 6 years, identifying research and/or monitoring efforts reporting structure, process, and/or outcomes measures associated with nursing care. Twenty-four articles were selected, and identified indicators from the National Quality Forum were compared/contrasted with relevant AHRQ Patient Safety Indicators. Results: The results of this study provide an important comparative assessment of the types, content, and intended purpose of available nursing indicators. We found little overlap and direction in the types of indicators available to examine the influence of nurse staffing on the outcomes of care. Further, there are no process measures available. The need for consistent indicator definitions and process measures is addressed.
Author: Kerm Henriksen
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 526
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Book Description
v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Author: American Nurses Association
Publisher:
ISBN:
Category : Nursing
Languages : en
Pages : 38
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Book Description
Author: Ronda Hughes
Publisher: Department of Health and Human Services
ISBN:
Category : Medical
Languages : en
Pages : 592
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Book Description
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309175704
Category : Medical
Languages : en
Pages : 558
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Book Description
Hospitals and nursing homes are responding to changes in the health care system by modifying staffing levels and the mix of nursing personnel. But do these changes endanger the quality of patient care? Do nursing staff suffer increased rates of injury, illness, or stress because of changing workplace demands? These questions are addressed in Nursing Staff in Hospitals and Nursing Homes, a thorough and authoritative look at today's health care system that also takes a long-term view of staffing needs for nursing as the nation moves into the next century. The committee draws fundamental conclusions about the evolving role of nurses in hospitals and nursing homes and presents recommendations about staffing decisions, nursing training, measurement of quality, reimbursement, and other areas. The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnelâ€"and examines whether these problems are related to staffing levels. Included is a readable overview of the underlying trends in health care that have given rise to urgent questions about nurse staffing: population changes, budget pressures, and the introduction of new technologies. Nursing Staff in Hospitals and Nursing Homes provides a straightforward examination of complex and sensitive issues surround the role and value of nursing on our health care system.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309168880
Category : Medical
Languages : en
Pages : 206
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Book Description
The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309187362
Category : Medical
Languages : en
Pages : 485
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Book Description
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author: American Nurses Association
Publisher:
ISBN:
Category :
Languages : en
Pages : 1
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309132967
Category : Medical
Languages : en
Pages : 359
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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Author: American Nurses Association
Publisher: American Nurses Publishing
ISBN:
Category : Medical
Languages : en
Pages : 140
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Book Description
"This literature review uses and analyzes nursing-sensitive indicators for community-based nonacute care. Seeking evidence-based indicators that reflect the quality of nursing care, an ANA advisory committee determined that the indicators as a set should include measures of structure, nursing process, and client/patient outcomes with a strong relationship to nursing care. The resulting community-based nonacute care indicators are pain management; consistency of communication; staff mix; client/patient satisfaction; tobacco use prevention; cardiovascular disease prevention; care giver activity; identification of primary care giver; activities of daily living; and psychosocial interaction." -- Cover page 4.
