华盛顿州医院的人员配置和不良事件之间的关系:使用链接的医院数据进行横截面研究
Nathaniel D Blair-Stahn1, Kyla F Woodward2, Sarah J Iribarren2
1UW Institute for Health Metrics and Evaluation.
Research square
|March 11, 2024
概括
较高的患者人数比率和较低的注册护士 (RN) 人员水平与华盛顿州医院的不良事件增加有关. 优化人员配置可以减少对患者的伤害.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 工作人员的特点显著影响急性护理机构患者的治疗结果.
- 了解这些关系对于改善医院质量和患者安全至关重要.
- 之前的研究表明,护士人员和患者结果之间存在联系,但需要对各种医院类型进行全面分析.
研究的目的:
- 量化华盛顿州医院人员特征与患者结果之间的关联.
- 确定影响急性护理和重症门诊医院不良事件的特定人员指标.
- 为提高患者安全提供基于证据的员工政策信息.
主要方法:
- 来自六个来源的链接数据的回顾性分析,涵盖华盛顿州医院的人员配置和结果.
- 使用随机效应波桑回归模型来检查人员数量/特征和不良事件之间的关系.
- 通过四个阶段的参与过程,纳入利益相关者的投入,以定义数据来源,措施和结果.
主要成果:
- 在一般急症护理医院,增加的患者人数比率与更多不良事件相关 (aRR 1.36).
- 在护理团队中注册护士 (RN) 的比例较低,在一般急性护理 (aRR 1.16) 和重症门诊医院 (aRR 3.28) 中,与较高的不良事件有关.
- 在一般急症护理医院,将患者每小时的工作时间的模拟减少到中位数 (1.2) 可以使不良事件减少10%.
结论:
- 注册护士人员是安全,高质量的患者护理的关键.
- 员工比例和注册护士的比例是影响患者结果的关键因素.
- 合并各种数据来源提供了对人员对患者安全影响的全面了解.
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