Fuss M A, Bryan Y E, Hitchings K S, Fox M A, Kinneman M T, Skumanich S, Young M J
Patient Care Services, Lehigh Valley Hospital & Health Network, Allentown, Pennsylvania, USA.
Nurs Adm Q. 1998 Fall;23(1):1-14. doi: 10.1097/00006216-199823010-00005.
This report describes restructuring on four critical care units at an acute, tertiary care hospital in South-east Pennsylvania. Utilizing a Patient Centered Care conceptual framework that had been successfully applied in the medical-surgical areas, restructuring involved three main areas: revamping of work processes, inclusive of redesigned staff roles; environmental and facility changes; and enhancement of telecommunication and information systems. Preliminary analyses six months post redesign revealed improvements and maintenance in four outcomes areas--satisfaction, quality and efficiency, and costs of care.
本报告描述了宾夕法尼亚州东南部一家急性三级护理医院四个重症监护病房的重组情况。利用一个已在医疗外科领域成功应用的以患者为中心的护理概念框架，重组涉及三个主要方面：工作流程的改进，包括重新设计员工角色；环境和设施的改变；以及电信和信息系统的升级。重新设计六个月后的初步分析显示，在四个结果领域——满意度、护理质量和效率以及护理成本方面均有改善并得以维持。
