使用医院医疗服务提供者及系统消费者评估（HCAHPS）调查对遗漏的护理进行量化。

Quantifying Missed Nursing Care Using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey.

作者信息

Orique Sabrina B, Patty Christopher M, Sandidge Alisha, Camarena Emma, Newsom Rose

机构信息

Author Affiliations: Advanced Practice Nurse (Ms Orique), Medication Safety Specialist (Dr Patty), Advanced Practice Nurse (Ms Sandidge), Advanced Practice Nurse (Dr Camarena), Director of Nursing Practice (Ms Newsom), Advance Nursing Practice Department, Kaweah Delta Medical Center, Visalia, California.

出版信息

J Nurs Adm. 2017 Dec;47(12):616-622. doi: 10.1097/NNA.0000000000000556.

DOI:10.1097/NNA.0000000000000556

PMID:29135852

Abstract

OBJECTIVE

The aim of this article is to describe the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data to measure missed nursing care and construct a missed nursing care metric.

BACKGROUND

Missed nursing care varies widely within and between US hospitals. Missed nursing care can be measured utilizing the HCAHPS data.

METHODS

This cross-sectional study used HCAHPS data to measure missed care.

RESULTS

This analysis includes HCAHPS data from 1125 acute care patients discharged between January 2014 and December 2014. A missed care index was computed by dividing the total number of missed care occurrences as reported by the patient into the total number of survey responses that did not indicate missed care. The computed missed care index for the organization was 0.6 with individual unit indices ranging from 0.2 to 1.4.

CONCLUSIONS

Our methods utilize existing data to quantify missed nursing care. Based on the assessment, nursing leaders can develop interventions to decrease the incidence of missed care. Further data should be gathered to validate the incidence of missed care from HCAHPS reports.

摘要