A National Comparison of Nursing-Sensitive Patient Safety Indicators in Magnet and Non-Magnet Hospitals

2.50
Hdl Handle:
http://hdl.handle.net/10755/152949
Type:
Presentation
Title:
A National Comparison of Nursing-Sensitive Patient Safety Indicators in Magnet and Non-Magnet Hospitals
Abstract:
A National Comparison of Nursing-Sensitive Patient Safety Indicators in Magnet and Non-Magnet Hospitals
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Solomita, Joy B., PhD, RN, MSN, MPH, NEA-BC
P.I. Institution Name:Dr. P. Phillips Hospital
Title:Chief Nursing Officer
21st INRC [Research Presentation] 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.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA National Comparison of Nursing-Sensitive Patient Safety Indicators in Magnet and Non-Magnet Hospitalsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152949-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A National Comparison of Nursing-Sensitive Patient Safety Indicators in Magnet and Non-Magnet Hospitals</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Solomita, Joy B., PhD, RN, MSN, MPH, NEA-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Dr. P. Phillips Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Chief Nursing Officer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jsolomita@aol.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] 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&nbsp; = 1001, p &lt; .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.</td></tr></table>en_GB
dc.date.available2011-10-26T11:56:19Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:56:19Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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