In our article, “Measuring Nurses’ Impact on Health Care Quality:Progress, Challenges and Future Directions,” we summarized the research
generated by four INQRI teams and reflected on the challenges and future
directions related to improving quality measurement. INQRI researchers have addressed the need for
quality measures that are useful across populations including pain, falls,
pressure ulcers, restraint use, medication administration accuracy, bloodstream
infections, discharge preparation and perceptions of daily nursing care. These teams tested new ways to model the
relationships between structure, process, and outcome; addressed the continuum
from hospital to home, measuring the role of discharge preparation on
readmissions and emergency department visits.
Most of the measures tested focused on the positive aspects of what
nurses do: believing the patient’s pain, providing daily comfort care, and
preparing patients to go home after a hospitalization. We found that several challenges exist
relative to quality measurement, including measuring care delivery from
multiple perspectives, determining the dose of care delivered, and measuring
the entire care process. Future work
should focus on the development of simple, feasible, affordable measures that
can be integrated in the care delivery system.
This post is part of our week-long blog carnival focused on the Medical Care supplement. Click here to access all posts in this carnival.
No comments:
Post a Comment