Tai Teresa W, Bame Sherry I, Patidar Nitish
Department of Health Care Management and Organizational Leadership, Quinnipiac University, Hamden, Connecticut (Drs Tai and Patidar); and Urban Planning Program, Texas A&M University, College Station (Dr Bame).
J Nurs Care Qual. 2018 Jan/Mar;33(1):E7-E15. doi: 10.1097/NCQ.0000000000000258.
This study examined factors determining hospital compliance to Hospital Quality Alliance's protocol for patients with myocardial infarction. Using a spatially matched sample of 132 Magnet and 264 non-Magnet hospitals, multivariate regressions determined significant hospital characteristics associated with compliance per Hospital Quality Alliance protocol. Adherence to the Hospital Quality Alliance protocols varied widely by hospital characteristics. Registered nurse staffing/bed was a key factor determining patient care quality variation. Quality of care practices such as protocol compliance should be measured and examined separately.
本研究调查了决定医院对心肌梗死患者遵循医院质量联盟协议情况的因素。使用了由132家磁力认证医院和264家非磁力认证医院组成的空间匹配样本，通过多元回归确定了与遵循医院质量联盟协议相关的显著医院特征。医院对医院质量联盟协议的遵循情况因医院特征而有很大差异。注册护士配备/床位是决定患者护理质量差异的关键因素。护理实践质量，如协议遵循情况，应单独进行衡量和检查。
