Dunbar L J, Diehl B C
Rehabil Nurs. 1995 Nov-Dec;20(6):328-32. doi: 10.1002/j.2048-7940.1995.tb01657.x.
Patient classification systems can be valuable tools for identifying trends in acuity and for justifying budgeted nursing care hours. A valid and reliable patient classification system can greatly facilitate the delivery of cost-effective, high-quality care. However, the more highly specialized the institutional population, the more difficult it becomes to use a standardized system. In this article, the authors address the development of a patient classification system for a postacute rehabilitation pediatric facility. Included is a discussion of the various pilot phases, the implications for clinical nursing practice, and the impact on family-centered care.
患者分类系统对于识别 acuity 趋势以及证明预算护理时长的合理性而言，可能是有价值的工具。一个有效且可靠的患者分类系统能够极大地促进具有成本效益的高质量护理的提供。然而，机构人群的专业化程度越高，使用标准化系统就变得越困难。在本文中，作者阐述了针对一家急性后康复儿科机构的患者分类系统的开发情况。内容包括对各个试点阶段的讨论、对临床护理实践的影响以及对以家庭为中心的护理的影响。
