PubMed · 10136662
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J L Johnson. 1994. The re-engineering solution.. https://pubmed.ncbi.nlm.nih.gov/10136662/
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Productivity, as traditionally measured in the NHS, may have levelled off. The Department of Health has acknowledged productivity problems. Current measurement indicators do not take account of quality, so improvement to services may show up as decreases in efficiency. Quality improvements should be included in productivity measurement.
A model for reviewing ward staffing and quality of care in a district general hospital has led to extra nurses being appointed. The review found correlation between low staffing and a high number of clinical incidents. The results have led to changes in practice and action to tackle sickness absence.