Bryan Y E, Hitchings K S, Fuss M A, Fox M A, Kinneman M T, Young M J
Patient Care Service, Lehigh Valley Hospital, Allentown, PA, USA.
J Nurs Adm. 1998 Oct;28(10):13-9. doi: 10.1097/00005110-199810000-00005.
Critical care has enjoyed unobstructed growth during the past two decades; however, to remain viable, process and role changes are pivotal to ensuring continued quality, cost-effective, and efficient care. In this article, the second in a two-part series, the authors describe restructuring efforts, inclusive of their measurement and evaluation strategies, within four critical care units at an acute care, tertiary institution. Special emphasis is placed on the process, the authors' observations, and lessons learned to date. Part 1 (September 1998) presented evaluation data of the effects of hospital restructuring on patient and nurse satisfaction, costs of care, and clinical quality in four medical-surgical units.
在过去二十年中，重症监护领域一直保持着持续增长的态势；然而，为了保持其可持续发展能力，流程和角色的转变对于确保持续提供高质量、具有成本效益且高效的护理至关重要。在本文（这是一个两部分系列文章的第二篇）中，作者描述了在一家急症护理三级医疗机构的四个重症监护病房内进行的重组工作，包括其测量和评估策略。文中特别强调了相关流程、作者的观察结果以及迄今所吸取的经验教训。系列文章的第一篇（1998年9月）展示了医院重组对四个内科 - 外科病房的患者和护士满意度、护理成本以及临床质量影响的评估数据。
