Biomedical subjects
Publications and source records attributed to P E Windle.
The Continuous Outcomes Measurement Improvement Technique (COMIT) model of problem-solving focuses on the reduction of a variance or the improvement of a patient outcome. A specific variance, pain tolerance, is used to reflect application of the model. The steps are explained as the model is applied to a variance resulting in an improved patient outcome.
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An integrative acuity measurement system has been developed to increase efficiency and effectiveness of care delivery. Patients are classified into groups on the basis of nursing care required, thus facilitating both determination of actual nursing cost and accurate projection of staffing needs. It provides a universal language among perioperative departments for measuring similar outcomes.
A multipurpose six-page, three-fold flow sheet improves patient outcomes, meets JCAHO standards and facilitates easy tracking of a patient's progress. The flow sheet is divided into nursing process, expected patient outcomes, critical pathway and variance report. Outcomes management is an effective process to control costs and improve patient outcomes.
The challenge for two units of St. Luke's Episcopal Hospital in Houston, Texas was to achieve quality and financial viability while maintaining staff satisfaction. The situation imposed by the current health care climate, with its emphasis on reducing costs while maintaining quality and productivity, mandated a change in the compensation structure. The Professional Salary Model was piloted on two units and refined along the way to ensure that the model, as practiced, met the staff's needs. Evaluation of the program revealed that the goals of quality, productivity, financial viability, and staff satisfaction were achieved.
The problem of unrelieved pain in the PostAnesthesia Care Unit (PACU) is an outcomes management concern. This article discusses the steps taken by the PACU staff to establish a benchmark for unrelieved pain and to evaluate the effect of the Multidisciplinary Pain Management Initiative (MPMI) action plan on the outcomes of length of stay and cost.