Hardy Patsy A
St. Joseph's Hospital, Parkersburg, West Virginia, USA.
J Healthc Manag. 2004 May-Jun;49(3):199-205.
In assessing this bed-purchase process and the resulting return on investment, I identified the following critical success factors related to capital investments: Evaluation of capital equipment for return on investment from the expense side, particularly when looking at use of manpower for critical positions in the organization Evaluation of capital equipment for increasing nursing satisfaction, a factor in addressing the healthcare worker shortage in today's environment Involvement of a representative team to create personal ownership through individuals wanting to take care of something they are involved in purchasing Spin-off timesaving that can be realized through the adage "form follows function" The last factor was found not only in savings of nurse staff time but also in pharmacy time because the weight function on the new beds saved approximately one hour, allowing for speedier calculation of creatinine clearance in antibiotic dosing. Changing my position and perspective was rewarding. The persistence of the CNO and the involvement of the employees made the experience gratifying on a personal level as well.
在评估此次病床采购过程及由此产生的投资回报率时,我确定了以下与资本投资相关的关键成功因素:从费用角度评估资本设备的投资回报率,尤其是在考虑组织中关键岗位的人力使用情况时;评估资本设备对提高护士满意度的作用,这是应对当今环境下医护人员短缺问题的一个因素;组建一个代表性团队,通过让个人对自己参与采购的事物产生主人翁意识来实现个人所有权;通过“形式追随功能”这一格言实现衍生的省时效果;最后一个因素不仅体现在节省护士人员时间上,还体现在药房时间上,因为新病床的称重功能节省了大约一小时,使得抗生素给药时肌酐清除率的计算更快。改变我的立场和观点是值得的。首席护理官的坚持以及员工的参与也让我个人层面的体验十分愉悦。