减少护士流动:降低患者下降和成本的关键策略
Angela Pascale1, Teresa D Welch, Todd B Smith
1Author Affiliations: Press Ganey Associates LLC, South Bend, Indiana (Drs Pascale and Warshawsky); and Capstone College of Nursing, The University of Alabama, Tuscaloosa, Alabama (Drs Welch and Smith).
高额注册护士 (RN) 周转率会导致大量的更换成本,并对医院质量产生负面影响,可能会增加患者的下降. 了解这种联系对于医疗保健管理至关重要.
科学领域:
- 医疗保健管理的管理
- 护理经济学 护理经济学
- 患者安全 患者安全
背景情况:
- 注册护士 (RN) 的营业额涉及大量的招聘,招聘和入学费用,估计每名RN56,000美元.
- 高的RN周转率导致组织挑战,如中断的沟通,团队合作和患者护理.
研究的目的:
- 检查注册护士 (RN) 周转率的组织成本.
- 分析RN周转率和住院患者跌倒率之间的关系,作为护理质量的指标.
主要方法:
- 该研究分析了与注册护士 (RN) 周转率相关的组织成本.
- 它调查了RN周转率和住院患者跌倒事件之间的相关性.
主要成果:
- 注册护士 (RN) 的流动量导致了大量的财务成本和更广泛的组织干扰.
- 增加RN的营业额与不良的质量结果有关,特别是住院患者跌倒率更高.
结论:
- RN的营业额给医院带来了相当大的财务和运营负担.
- 减少RN周转率对于改善患者安全和整体护理质量至关重要,如跌倒率所示.
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