Using computational modeling to improve patient care unit safety and quality outcomes.

摘要: As part of ongoing research to investigate the impact patient characteristics, organization characteristics and unit on safety quality outcomes, we are using a computational modeling program, OrgAhead, model care units' achievement (medication errors falls) outcomes. We tuned OrgAhead data collected from 16 units in 5 hospitals. Subsequent validation studies demonstrated acceptable levels correspondence between actual virtual units. In this paper, report our initial efforts use develop testable hypotheses about kinds innovations that nurse managers might realistically implement their improve Our focus is unit-level likely be easier for implement. For all but highest performing (for which encountered ceiling effect), were able generate practical strategies improved performance by 6-8 percentage points. Nurse Managers have responded enthusiastically additional decision support improvement