Shaha S H, Bush C
Salt Lake Valley Cluster, Intermountain Health Care, UT, USA.
Nurs Econ. 1996 Nov-Dec;14(6):346-56.
Traditional acuity systems have met with limited success in hospitals. The requirements and high costs of installation, auditing, maintenance, and updating have been problematic criticisms. Intermountain Health Care developed an innovative system which focuses on and refines the professional judgment and decision making of nurses and caregivers as the basis for patient classification and staffing. Results have been favorable for: (a) increasing the usefulness and accuracy of the information, (b) enabling delivery-level innovation in staffing models and successfully considering and testing alternative care delivery models to reduce the costs of care, (c) reducing the expenses associated with maintaining, auditing, and updating the systems, and (d) fostering delivery-level ownership and enhancing the professionalism and satisfaction of the caregiver users.
传统的 acuity 系统在医院取得的成功有限。安装、审核、维护和更新的要求及高昂成本一直是备受诟病的问题。山间医疗保健公司开发了一种创新系统，该系统专注于并完善护士和护理人员的专业判断与决策，以此作为患者分类和人员配置的基础。结果在以下方面表现良好：（a）提高了信息的实用性和准确性；（b）在人员配置模式上实现了交付层面的创新，并成功考虑和测试了替代护理交付模式以降低护理成本；（c）减少了与系统维护、审核和更新相关的费用；（d）促进了交付层面的自主性，并提高了护理人员用户的专业素养和满意度。
