预期支付下的医疗敏锐度与人员配置
Acuity and staffing under prospective payment.
作者信息
Adams R, Johnson B
出版信息
J Nurs Adm. 1986 Oct;16(10):21-5.
Nursing administrators are debating the desirable mix of professional (RN) and paraprofessional (LPN) nursing staff under the prospective payment system (DRGs). The staffing mix reflects the cost and quality of nursing care provided by an acute care hospital. Based on a reliable and valid acuity/care plan system, standards of care and nursing diagnoses, several DRGs were analyzed on an eight-bed medical/surgical intensive care unit with regard to intensity of care and staffing mix. This study showed nursing administrators that the staffing mix on an intensive care unit varies according to the acuity/care plan rather than DRGs or nursing diagnoses.
护理管理人员正在讨论在预期支付系统（诊断相关分组）下专业护士（注册护士）和辅助专业护士（执照职业护士）的理想人员配置组合。人员配置组合反映了急症护理医院提供的护理服务的成本和质量。基于一个可靠且有效的病情严重程度/护理计划系统、护理标准和护理诊断，对一个八床位的内科/外科重症监护病房的几个诊断相关分组在护理强度和人员配置组合方面进行了分析。这项研究向护理管理人员表明，重症监护病房的人员配置组合是根据病情严重程度/护理计划而变化的，而不是根据诊断相关分组或护理诊断。
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