Aquila A
Hospital of St Raphael, New Haven, Connecticut 06511, USA.
J Vasc Nurs. 2001 Sep;19(3):80-6. doi: 10.1067/mvn.2001.117986.
Fiscal accountability by health care providers has become a theme in health care delivery systems; however, evaluation of outcomes on the basis of cost alone may minimize the importance of patient needs and the quality of the care delivered. Mechanisms related to resource identification and allocation has to be driven by internal data and information systems that consider clinical, financial, administrative, and patient satisfaction data. This article will define processes, outcomes and outcomes measurement, and management. Various nursing-sensitive outcomes will be presented and their establishment, tracking, interpretation, and effect on the delivery of patient care in a newly opened vascular unit will be highlighted.
医疗服务提供者的财政问责制已成为医疗服务提供系统中的一个主题;然而,仅基于成本对结果进行评估可能会低估患者需求和所提供护理质量的重要性。与资源识别和分配相关的机制必须由内部数据和信息系统驱动,这些系统要考虑临床、财务、行政和患者满意度数据。本文将定义过程、结果、结果测量及管理。将介绍各种护理敏感结果,并重点强调它们在新建血管科中的建立、跟踪、解读以及对患者护理提供的影响。