García M A, Castillo L
Facultad de Medicina, Hospital Clínico Pontificia Universidad Católica de Chile.
Rev Med Chil. 2000 Feb;128(2):177-83.
Client categorization is a management tool that allows an objective and structured assessment of the care demands imposed by patients and nursing workloads.
To characterize the need for direct nursing care of patients admitted to a university hospital.
During two months, all patients admitted to intensive, intermediate care units and general services were categorized, their need for nursing care and the time invested by nurses in their care was registered. All patients were classified as maximal, high, median or low risk and as independent, totally or partially dependent on nursing care. Considering four degrees of risk and three degrees of dependency, 12 categories of patients were defined.
Patients admitted to intensive care units were of maximal risk and totally dependent and required 1 nurse per 2.2 patients. Those admitted in intermediate care units required 1 nurse per 3.8 patients and those in general services, 1 nurse per 11.5 patients.
Client categorization is a reproducible method that determines a standard measuring unit to define nursing needs. This allows the comparison of workloads between different services within a hospital or between hospitals.
患者分类是一种管理工具，可对患者护理需求和护理工作量进行客观且结构化的评估。
描述某大学医院收治患者的直接护理需求特征。
在两个月期间，对收治于重症监护病房、中级护理病房及普通科室的所有患者进行分类，记录他们的护理需求以及护士投入护理的时间。所有患者被分为极高、高、中或低风险类别，以及独立、完全或部分依赖护理类别。考虑到四种风险程度和三种依赖程度，定义了12类患者。
收治于重症监护病房的患者风险极高且完全依赖护理，每2.2名患者需要1名护士。收治于中级护理病房的患者每3.8名需要1名护士，普通科室的患者每11.5名需要1名护士。
患者分类是一种可重复的方法，可确定用于定义护理需求的标准测量单位。这使得能够比较医院内不同科室之间或不同医院之间的工作量。
