Risk-Adjusted Staffing to Improve Patient Value.
The presence of hospital-acquired conditions, infections, or other adverse events are a reflection of inadequate patient safety and can have short and long-term impacts of quality of life for patients as well as financial implications for the hospital. Using unit-level information to develop a tool, the Patient Risk Assessment Profile, nurses on an inpatient surgical unit proactively assessed patient risk to guide staffing decisions and nurse-patient assignment with the goal to improve patient value, reduce adverse events, and avoid unnecessary hospital costs. Findings showed decreased adverse event rates for patient falls, catheter-acquired urinary tract infection, central line-acquired blood stream infection, and pressure ulcer prevalence after the intervention was implemented. In addition, end-of-shift over-time and patient cost per case decreased as well yielding an operational impact in hospital financial performance.
Sharon
S
Pappas
Nan
N
Davidson
Jim
J
Woodard
Jennifer
J
Davis
John M
JM
Welton
D000058:Accidental Falls / Q000191:economics / Q000517:prevention & control; D055499:Catheter-Related Infections / Q000191:economics* / Q000517:prevention & control; D017046:Cost Savings / Q000191:economics*; D003661:Decision Support Techniques; D004471:Economics, Nursing; D004509:Education, Nursing, Continuing; D006801:Humans; D009741:Nursing Staff, Hospital / Q000600:supply & distribution*; D061214:Patient Safety / Q000191:economics*; D010561:Personnel Staffing and Scheduling / Q000191:economics*; D010865:Pilot Projects; D003668:Pressure Ulcer / Q000191:economics / Q000517:prevention & control; D012307:Risk Factors; D012308:Risk Management / Q000458:organization & administration*; D018805:Sepsis / Q000191:economics / Q000517:prevention & control; D014481:United States; D014552:Urinary Tract Infections / Q000191:economics / Q000517:prevention & control