Diers D, Bozzo J
Yale University School of Nursing, New Haven, CT, USA.
Nurs Econ. 1997 May-Jun;15(3):124-30, 137.
The use of traditional nurse-specific patient classification/acuity systems for staffing are obsolete as they do not interact with other elements of hospital information systems (HIS). In the face of rapidly advancing managed care penetration the challenge for nursing has become the capability to measure and manage cost, quality, and outcomes by integrating nursing resource information into the standard HIS spawned by DRGs. Earlier efforts to quantify nursing relative intensity measures and correlate them with DRGs were not successful. New health care software technology (as well as combined financial and clinical department support) can now provide integrated clinical information and financial information by DRG for each patient's clinical record. Expert clinician medical-surgical and ICU nursing panels were empowered to evaluate and arrive at group consensus placing designated DRGs in clusters according to their average nursing care resource requirements. The method was tested and validated.
使用传统的针对护士的患者分类/ acuity系统进行人员配置已过时，因为它们无法与医院信息系统（HIS）的其他元素交互。面对管理式医疗渗透的迅速推进，护理面临的挑战已成为通过将护理资源信息整合到由诊断相关分组（DRG）产生的标准HIS中，来衡量和管理成本、质量及结果的能力。早期量化护理相对强度指标并将其与DRG相关联的努力并未成功。新的医疗保健软件技术（以及财务和临床部门的联合支持）现在可以按DRG为每个患者的临床记录提供综合临床信息和财务信息。由专家临床医生、外科和重症监护病房护理小组有权进行评估并达成小组共识，根据指定DRG的平均护理资源需求将其分组。该方法经过了测试和验证。
