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Related Experiment Videos

Nurse/physician collaborative practice: improving health care quality while decreasing cost

A A Lassen1, D M Fosbinder, S Minton

  • 1Hospital Cottonwood Hospital Medical Center, Alta View Hospital, Salt Lake City, UT., USA.

Nursing Economic$
|March 1, 1997
PubMed
Summary

Standardizing the diagnosis and treatment of rule-out sepsis (R/O sepsis) in neonates using a risk profile improved care quality and reduced costs. This collaborative approach also eased parental anxiety and confusion.

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Area of Science:

  • Neonatal Medicine
  • Healthcare Quality Improvement
  • Clinical Practice Standardization

Background:

  • Inconsistent approaches to rule-out sepsis (R/O sepsis) in neonates lead to high costs and compromised care quality.
  • Clinicians face diagnostic challenges with R/O sepsis, often resulting in unnecessary antibiotic treatment with associated financial and morbidity costs.

Purpose of the Study:

  • To evaluate the impact of a standardized, collaborative risk profile on the diagnosis and treatment of neonates with R/O sepsis.
  • To assess improvements in care quality, cost reduction, and patient/parental outcomes.

Main Methods:

  • Implementation of an agreed-upon risk profile to guide diagnosis and treatment decisions for R/O sepsis.
  • Facilitation of collaborative standardization between physicians and nurses.

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Main Results:

  • The standardized approach improved the quality of care for R/O sepsis patients.
  • Significant cost reductions were achieved by minimizing over-treatment.
  • The collaborative method did not increase patient risk and reduced parental anxiety.

Conclusions:

  • A collaborative, risk-profile-based approach effectively standardizes R/O sepsis management in neonates.
  • This strategy enhances nurse-physician relationships, improves quality, and reduces healthcare costs.
  • Standardization alleviates confusion and anxiety for parents of neonates with R/O sepsis.