Nursing resource definition in DRGs. RIMS/Nursing Acuity Project Group.
Nursing resource definition in DRGs. RIMS/Nursing Acuity Project Group.
复制标题
DRG 中的护理资源定义。
DOI：
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发表时间：
1997
期刊：
影响因子：
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通讯作者：
J. Bozzo
中科院分区：
文献类型：
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作者：
D. Diers;J. Bozzo
使用传统的护士特定患者分类/视力系统进行人员配置已经过时，因为它们不与医院信息系统（HIS）的其他元素交互。面对快速推进的管理式护理渗透，护理面临的挑战已经成为通过将护理资源信息整合到由DRGs产生的标准HIS中来衡量和管理成本、质量和结果的能力。早期量化护理相对强度措施并将其与DRGs相关联的努力并不成功。新的医疗软件技术（以及财务和临床部门的联合支持）现在可以通过DRG为每个患者的临床记录提供综合的临床信息和财务信息。专家临床医师内科外科和ICU护理小组被授权评估并达成小组共识，根据他们的平均护理资源需求将指定的drg放在集群中。对该方法进行了测试和验证。
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.