| Sunday, November 4, 2007: 8:15 AM-9:30 AM | |||
| Predictors of Patient Outcomes from a Large, Nursing Effectiveness Study | |||
| Learning Objective #1: The learner will be able to describe nursing outcomes effectiveness research and large database analyses for medical errors, complications, adverse incidents, and failure to rescue. | |||
| Learning Objective #2: The learner will be able to describe implications of findings for patient safety such as staffing levels, nursing treatments, and other processes of acute care. | |||
| Purpose: The purpose of the symposium is to provide examples of nursing outcomes effectiveness research as they relate to issues of patient safety in acute care. Three papers will be presented focusing on predictors of medication errors, failure to rescue, and the unique contribution of staffing to complications and adverse incidents. Conceptual Framework: A nursing outcomes effectiveness framework (Titler, Dochterman, & Reed, 2004), derived from Kane’s work (1997), guided the studies. Specifically, patient outcomes of hospitalization are influenced by the characteristics of the patient, their clinical condition, the treatment they receive and the context of care delivery. Subjects: Inclusion criteria were: > 60 years of age hospitalized, admitted to an acute care hospital in the Midwest between July 1, 1998 to June 31, 2002, and were at risk for falling or received the nursing treatment of Fall Prevention. Methods: A nursing outcomes effectiveness database was developed from 9 clinical and operational data repositories from an acute care tertiary hospital in the Midwest. 10,187 hospitalizations were extracted from this database reflecting care delivered. Hospitalizations were the unit of analysis. Analytic methods used in these analyses include generalized estimated equation (GEE) modeling, logistic regression, and propensity scoring. Results: These studies provide empirical evidence of nursing contributions (both staffing and nursing treatments) to patient safety (i.e., medication errors, failure to rescue, complications, adverse incidents, and failure to rescue from adverse incidents). Conclusion: The implications of research findings for patient safety, administrative decision-making and resource management will be highlighted. | |||
| Symposium Organizer: | Leah L. Shever, RN | ||
| Symposium Presenters: | Marita Titler, PhD, RN, FAAN Debra M. Picone, PhD Leah L. Shever, RN | ||
| 177 | Predictors of Failure to Rescue for Hospitalized Older Adults at Risk for Falling Leah L. Shever, RN, Marita Titler, PhD, RN, FAAN | ||
| 178 | The Unique Contribution of Nurse Staffing on Patient Outcomes Marita Titler, PhD, RN, FAAN, Leah L. Shever, RN, Taikyoung Kim, MS | ||
| 179 | Variables that Predict Medication Errors Debra M. Picone, PhD, Marita Titler, PhD, RN, FAAN, Joanne McCloskey Dochterman, PhD, RN, FAAN, Leah L. Shever, RN, Taikyoung Kim, MS, Paul Abramowitz, PharmD, Mary F. Kanak, PhD | ||