PubMed Health⌕ Search

Biomedical subjects

W Ammentorp

Publications and source records attributed to W Ammentorp.

3 recordsLinked to original sources

Assuring quality care: measuring and monitoring the caring process.

Everyone interested in the quality of the human services agrees that it should be largely determined by the interaction between the client and their caregivers. Unfortunately, this exchange has proven to be very difficult to measure in an accurate and timely manner. The resulting uncertainty has prevented smooth adaptation of the caring process to client needs; it has also made it virtually impossible for managers to devise workable quality control systems. This paper describes the use of miniaturized barcode technology for collection of real-time data at the point of care. With the addition of laptop computers, this technology provides for immediate feedback of information to address quality issues in care planning and management. The data bases produced by this system are sources of documentation for quality assurance as well as a dynamic foundation for quality control.

Electronic Data Processing↗

Grouping nursing home residents for prospective payment.

The widespread interest in prospective payment systems for nursing home reimbursement raises an important question for providers: Can residents be meaningfully and reliably grouped according to their needs for care and treatment? This article uses sample data from seven midwestern nursing homes to examine the relationship between present levels of care and proposed classification methodologies.

Activities of Daily Living↗

Information structures: an analysis of nursing performance.

This study demonstrated a methodology of measuring information content and manipulation of nursing subject matter and suggested features of information processing nurses may use to determine the condition of patients. Subjects included 23 associate degree nurses (experts) and 37 first-year AD nursing students (novices) who sorted 59 data elements of a simulated client problem into categories. As a result, 12 categories of patient problems were identified, which were subjected to a latent partition analysis to identify common categorization. Subjects then were asked to decide on appropriate patient interventions. The two groups--experts and novices--were compared re: mean number of data elements requested, mean number of elements requested by LPA category, t test of the mean weights for each category, and rank order correlations of category emphasis. The 12 protocols were then tested for conformity to experience by nine judges. Experts were found to address more problems than novices; they placed more emphasis on current vital signs, pain, and neurological check.

Decision Making↗