Crawford B L, Taylor L S, Seipert B S, Lush M
Department of Nursing Administration, Kaiser Permanente Medical Center, Sacramento, CA, USA.
J Nurs Care Qual. 1996 Jan;10(2):33-40. doi: 10.1097/00001786-199601000-00006.
The health care industry is compelled to reduce costs while providing high-quality patient care. Outcomes analysis enables monitoring and maintenance of quality of care in our rapidly changing practice environment. Comprehensive outcomes research cannot occur, however, without a database incorporating practice-related data, interventions and components of care, and outcomes of care. The article reports the design and proposed implementation of an outcomes assessment infrastructure in a multifacility health maintenance organization in Northern California. The infrastructure integrates traditionally measured outcomes and cost data with nontraditional, nurse-influenced, health-related outcomes.
医疗保健行业在提供高质量患者护理的同时，被迫降低成本。结果分析有助于在迅速变化的医疗环境中监测和维持护理质量。然而，如果没有一个包含与医疗实践相关的数据、干预措施、护理组成部分以及护理结果的数据库，就无法进行全面的结果研究。本文报告了北加利福尼亚一个多机构健康维护组织中结果评估基础设施的设计和拟议实施情况。该基础设施将传统测量的结果和成本数据与非传统的、受护士影响的、与健康相关的结果整合在一起。
