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Staffing Models: Making Increased Acuity Safe in the Pediatric ICU
Marshall Stephenson1, Tiago Jabur, Ginger Young
1Author Affiliation: Vice President of Nursing (Stephenson), Critical Care Services; Senior Project Manager (Jabur), Performance Improvement; Pediatric Clinical Nurse Specialist (Young); and Senior Director of Nursing Research and Evidence-Based Practice (Dr Patton), Children's Health System, Texas Children's Medical Center, Dallas.
Abstract:
Traditional staffing models rely on the productivity metric of hours per patient day, lacking the ability to adequately capture the nursing workload. Acuity-based staffing considers the patient population's acuity for appropriate nursing workload. Using process improvement methodology, a pediatric ICU transitioned to an acuity-based staffing model resulting in an 11.3% ( P < 0.05) reduction in the acuity per nursing assignment and a decrease in reportable safety events by 61.3% ( P < 0.05).
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