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Tuesday, 13 July 2010
Learning Objective 1: The learner will see what effect Magnet designation had on five combined Patient Safety Indicators from the Agency for Healthcare Research and Quality.
Learning Objective 2: The learner will see what effect Magnet designation had on five individual Patient Safety Indicators.
Purpose:
The purpose of this study was to determine if there was a difference in risk-adjusted rates for five of AHRQ’s Patient Safety Indicators (PSIs) in relation to ANCC’s Magnet® designation, including decubitus ulcer, death among surgical inpatients, postoperative respiratory failure, postoperative deep vein thrombosis (DVT)/pulmonary embolus (PE), and postoperative sepsis.
Methods:
This exploratory, cross-sectional study used data from AHRQ’s Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS, 2006), American Hospital Association data (AHA, 2006), and ANCC Magnet® designation (2006). MANCOVA was used to determine if there was a relationship between the combined PSIs and magnet status, while controlling for RN staffing and operated beds.
Results:
MANCOVA analysis indicated that hospital groups did not differ on the combined variable created from the five PSIs (p = .383), while controlling for RN staffing and number of operated beds. In further analyses, RN hours per adjusted patient day were significantly higher in magnet hospitals (t = 4.132, df = 1001, p < .000). Magnet hospitals had a significantly higher rate of postoperative DVT/PE, (t = 2.44, df = 914, p = .015) and a significantly lower rate of death among surgical inpatients (t = -2.05, df = 64.15, p = .044).
Conclusion:
Multivariate analysis results did not support that Magnet hospitals differed from non-Magnet hospitals on the combined PSIs, while controlling for nurse staffing and number of beds. Magnet hospitals had higher postoperative DVT/PEs and lower surgical mortality rates. Findings showed that Magnet hospitals provided higher RN staffing.
This study adds further information on nurse-sensitive outcomes in Magnet designated hospitals and is aligned with ANCC’s new five step model focusing on empirical evidence (ANCC, 2008) and quality outcomes.
References:
American Nurses Credentialing Center. (2008). Application manual. Magnet recognition program (2008 ed.).Silver Spring , MD : American Nurses Credentialing Center.
The purpose of this study was to determine if there was a difference in risk-adjusted rates for five of AHRQ’s Patient Safety Indicators (PSIs) in relation to ANCC’s Magnet® designation, including decubitus ulcer, death among surgical inpatients, postoperative respiratory failure, postoperative deep vein thrombosis (DVT)/pulmonary embolus (PE), and postoperative sepsis.
Methods:
This exploratory, cross-sectional study used data from AHRQ’s Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS, 2006), American Hospital Association data (AHA, 2006), and ANCC Magnet® designation (2006). MANCOVA was used to determine if there was a relationship between the combined PSIs and magnet status, while controlling for RN staffing and operated beds.
Results:
MANCOVA analysis indicated that hospital groups did not differ on the combined variable created from the five PSIs (p = .383), while controlling for RN staffing and number of operated beds. In further analyses, RN hours per adjusted patient day were significantly higher in magnet hospitals (t = 4.132, df = 1001, p < .000). Magnet hospitals had a significantly higher rate of postoperative DVT/PE, (t = 2.44, df = 914, p = .015) and a significantly lower rate of death among surgical inpatients (t = -2.05, df = 64.15, p = .044).
Conclusion:
Multivariate analysis results did not support that Magnet hospitals differed from non-Magnet hospitals on the combined PSIs, while controlling for nurse staffing and number of beds. Magnet hospitals had higher postoperative DVT/PEs and lower surgical mortality rates. Findings showed that Magnet hospitals provided higher RN staffing.
This study adds further information on nurse-sensitive outcomes in Magnet designated hospitals and is aligned with ANCC’s new five step model focusing on empirical evidence (ANCC, 2008) and quality outcomes.
References:
American Nurses Credentialing Center. (2008). Application manual. Magnet recognition program (2008 ed.).