Lush M T, Jones D L
Kaiser Permanente Medical Care Program, Northern California, USA.
Proc Annu Symp Comput Appl Med Care. 1995:625-9.
An infrastructure to support the evaluation of patient care sensitive to the intervention of nursing personnel is being developed within a major health maintenance organization. In addition to traditional administrative measures of care, the database infrastructure will include measures of the patient's functional status, knowledge and engagement in care and psychosocial well-being. These measures are believed to be particularly sensitive to the independent intervention of the nurse. Reported here are the structures in place to monitor and support the reliability and validity of the administrative data elements; algorithm elements created to account for missing data; the model for the first generation of successful practice reports and the results of a study establishing the content validity of the clinical data elements.
一家大型健康维护组织正在构建一个基础设施，以支持对护理人员干预敏感的患者护理评估。除了传统的护理管理措施外，数据库基础设施还将包括患者功能状态、护理知识与参与度以及心理社会福祉等方面的测量指标。这些指标被认为对护士的独立干预尤为敏感。本文报告了用于监测和支持管理数据元素的可靠性和有效性的现有结构；为处理缺失数据而创建的算法元素；第一代成功实践报告的模型以及一项确定临床数据元素内容效度的研究结果。
