计算最佳患者护理能力:传统和新方法的比较分析
Anna Ware1, Terri Blumke1, Peter Hoover1
1National Center for Collaborative Healthcare Innovation, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States.
JMIR nursing
|November 25, 2024
概括
一种新的动态床位计数方法提供了比传统的患者与护士比率更准确的,每小时的护士人员配置水平,提高了患者安全和护理效率.
科学领域:
- 医疗保健管理的管理
- 护理工作人员护理人员
- 患者安全 患者安全
背景情况:
- 传统的护士人员配置方法,如患者与护士 (P/N) 的比率和每天的护理时间,不考虑患者需求的每日波动.
- 这些静态方法可能导致护士人力不足,影响患者的治疗结果并增加员工的倦怠.
研究的目的:
- 评估一种新的动态床位数计算方法,以优化每小时护士人员数量.
- 为了比较动态床位数与传统的P/N比率在管理患者容量的有效性.
主要方法:
- 退伍军人事务帕洛阿尔托医疗保健系统 (VAPAHCS) 试行了一种动态的床位计数系统,将P/N比率和每天患者的护理时间集成为每小时计算.
- 从2023年1月1日到2023年5月25日,在重症监护室 (ICU),医疗外科ICU和急症监护室评估了患者容量.
- 使用统计分析,包括描述性统计和学生t测试,将动态床位数与P/N比率进行比较.
主要成果:
- 与P/N比率相比,动态床位数提供了优越的患者容量的时间分辨率.
- 平均而言,P/N比率高估了患者的能力,表明单位可能超过最佳水平.
- 例如,急症病房3C的动态病床数量为21.6,P/N比为28.6.
结论:
- 动态床位数提供了对人员需求,患者敏度和营业额的增强,及时的洞察力.
- 实施这种方法可以使医疗保健部门能够优化护士人员配置,并改善整体患者护理.
- 这种方法比传统的护士人员计算方法有了显著的进步.
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