Effects of acuity-adaptable rooms on flow of patients and delivery of care [corrected] [published erratum appears in AM J CRIT CARE 2004 Mar;13(2):171].
BACKGROUND: Delayed transfers of patients between nursing units and lack of available beds are significant problems that increase costs and decrease quality of care and satisfaction among patients and staff. OBJECTIVE: To test whether use of acuity-adaptable rooms helps solve problems with transfers...
| Publicado en: | American Journal of Critical Care Vol. 13; no. 1; pp. 35 - 46 |
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| Autores principales: | , , |
| Formato: | CEU pictorial research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jan2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106716102&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106716102 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jan2004 vid: 13 iid: 1 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 106716102 106716102 2004048454 10.4037/ajcc2004.13.1.35 NLM14735646 106716102 ppf: 35 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Effects of acuity-adaptable rooms on flow of patients and delivery of care [corrected] [published erratum appears in AM J CRIT CARE 2004 Mar;13(2):171]. aug: au: Hendrich AL Fay J Sorrells AK affil: Methodist Hospital, Clarian Health Partners, Inc, Indianapolis, Ind sug: subj: Coronary Care Nursing Interior Design and Furnishings Patient Classification Patients' Rooms Progressive Patient Care Transfer, Intrahospital Pretest-Posttest Design Funding Source Accidental Falls Coronary Care Units Cost Savings Databases Decentralization Descriptive Statistics Education, Continuing (Credit) Indiana Length of Stay Medical-Surgical Nursing Medication Errors Observation Units Patient Satisfaction Evaluation Personnel Recruitment Personnel Retention Productivity Questionnaires Record Review Sentinel Event Time Factors Workload Human ab: BACKGROUND: Delayed transfers of patients between nursing units and lack of available beds are significant problems that increase costs and decrease quality of care and satisfaction among patients and staff. OBJECTIVE: To test whether use of acuity-adaptable rooms helps solve problems with transfers of patients, satisfaction levels, and medical errors. METHODS: A pre-post method was used to compare the effects of environmental design on various clinical and financial measures. Twelve outcome-based questions were formulated as the basis for inquiry. Two years of baseline data were collected before the unit moved and were compared with 3 years of data collected after the move. RESULTS: Significant improvements in quality and operational cost occurred after the move, including a large reduction in clinician handoffs and transfers; reductions in medication error and patient fall indexes; improvements in predictive indicators of patients' satisfaction; decrease in budgeted nursing hours per patient day and increased available nursing time for direct care without added cost; increase in patient days per bed, with a smaller bed base (number of beds per patient days). Some staff turnover occurred during the first year; turnover stabilized thereafter. CONCLUSIONS: Data in 5 key areas (flow of patients and hospital capacity, patients' dissatisfaction, sentinel events, mean length of stay, and allocation of nursing productivity) appear to be sufficient to test the business case for future investment in partial or complete replication of this model with appropriate populations of patients. pubtype: Academic Journal doctype: CEU pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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