Measuring critical care redesign: impact on satisfaction and quality.
This report describes restructuring on four critical care units at an acute, tertiary care hospital in South-east Pennsylvania. Utilizing a Patient Centered Care conceptual framework that had been successfully applied in the medical-surgical areas, restructuring involved three main areas: revamping of work processes, inclusive of redesigned staff roles; environmental and facility changes; and enhancement of telecommunication and information systems. Preliminary analyses six months post redesign revealed improvements and maintenance in four outcomes areas--satisfaction, quality and efficiency, and costs of care.
Fuss
M A
MA
Patient Care Services, Lehigh Valley Hospital & Health Network, Allentown, Pennsylvania, USA.
Bryan
Y E
YE
Hitchings
K S
KS
Fox
M A
MA
Kinneman
M T
MT
Skumanich
S
S
Young
M J
MJ
D003422:Critical Care / Q000592:standards*; D017598:Efficiency, Organizational; D006754:Hospital Restructuring / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000458:organization & administration; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D011787:Quality of Health Care