Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ data(1737) use(1416) pattern(1282) }
{ patient(2315) diseas(1263) diabet(1191) }
{ treatment(1704) effect(941) patient(846) }
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{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
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{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: We used ORA, a dynamic network analysis tool, to identify patient care unit communication patterns associated with patient safety and quality outcomes. Although ORA had previously had limited use in healthcare, we felt it could effectively model communication on patient care units.METHODS: Using a survey methodology, we collected communication network data from nursing staff on seven patient care units on two different days. Patient outcome data were collected via a separate survey. Results of the staff survey were used to represent the communication networks for each unit in ORA. We then used ORA's analysis capability to generate communication metrics for each unit. ORA's visualization capability was used to better understand the metrics.RESULTS: We identified communication patterns that correlated with two safety (falls and medication errors) and three quality (e.g., symptom management, complex self care, and patient satisfaction) outcome measures. Communication patterns differed substantially by shift.CONCLUSION: The results demonstrate the utility of ORA for healthcare research and the relationship of nursing unit communication patterns to patient safety and quality outcomes.

Resumo Limpo

rpose use ora dynam network analysi tool identifi patient care unit communic pattern associ patient safeti qualiti outcom although ora previous limit use healthcar felt effect model communic patient care unitsmethod use survey methodolog collect communic network data nurs staff seven patient care unit two differ day patient outcom data collect via separ survey result staff survey use repres communic network unit ora use ora analysi capabl generat communic metric unit ora visual capabl use better understand metricsresult identifi communic pattern correl two safeti fall medic error three qualiti eg symptom manag complex self care patient satisfact outcom measur communic pattern differ substanti shiftconclus result demonstr util ora healthcar research relationship nurs unit communic pattern patient safeti qualiti outcom

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