Edel E M
Nurs Manage. 1995 May;26(5):48N, 48P.
Moving Perioperative Services into the future requires more than the analysis and improvement of work processes and demonstrated cost-containment. The standard verbiage driving such changes-productivity, quality, turnover times, cost per case, staffing levels-remains the focus of discussion in the literature. In addition, meeting future needs requires combining these quantitative measures with patient acuity, staff competency and technology. The financial demands of managed care, justification of staffing levels, competency of staff doing patient care, increased surgical equipment complexities and higher patient acuity have driven the need for a defined measurement system for patient acuity. The Patient Acuity System (PAS) in the Perioperative Services at St. Luke's Episcopal Hospital in Houston, Texas is being designed to address the complexity of these needs.
将围手术期服务推向未来，所需的不仅仅是对工作流程的分析与改进以及已证明的成本控制。推动此类变革的标准措辞——生产率、质量、周转时间、每例成本、人员配备水平——仍是文献讨论的焦点。此外，满足未来需求需要将这些量化指标与患者病情严重程度、员工能力和技术相结合。管理式医疗的财务需求、人员配备水平的合理性、提供患者护理的员工的能力、手术设备复杂性的增加以及患者病情严重程度的提高，促使人们需要一个明确的患者病情严重程度测量系统。德克萨斯州休斯顿圣卢克圣公会医院围手术期服务中的患者病情严重程度系统（PAS）正在设计中，以应对这些需求的复杂性。
