2.50
Hdl Handle:
http://hdl.handle.net/10755/182037
Category:
Abstract
Type:
Presentation
Title:
The Cost of Nurse-Sensitive Adverse Events
Author(s):
Pappas, Sharon
Author Details:
Sharon Pappas, RN, PhD, NEA-BC, Chief Nursing Officer, Porter Adventist Hospital, Denver, Colorado, USA, email: Sharonpappas@centura.org
Abstract:
Podium presentation, ANCC National Magnet Conference: One focus of healthcare reform addresses healthcare value; better patient outcomes at reasonable costs. Nurses have a key role in this focus. Cost impact must be added to the already-established evidence relating nursing care to patient safety and quality. Most hospitals have robust cost accounting systems that provide actual patient level direct costs. They report the costs of the resources consumed by patients during a hospital stay including the costs of resources consumed remediating an adverse event. In addition to quality data, cost data enables nurses to relate their practice to the actual costs of patient care. Data from 3200 inpatients retrieved from hospital administrative databases was analyzed to determine the difference in cost per case of patients with and without an adverse event. Patients were discharged from two hospitals of similar Case Mix Index. The purpose was to establish a methodology to concurrently examine costs and quality outcomes to determine the actual cost of the acute episode of care. Five nurse-sensitive adverse events were analyzed. A regression analysis revealed the actual direct per case cost of an adverse event was $1029 in the medical cases and $903 in the surgical cases. With this information, nurses articulated their financial impact through avoiding the cost of an adverse event. Effective nursing care that manages quality and costs through prevention of adverse events demonstrates healthcare value. Nurses are strategic to the clinical and financial success of the hospital.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Cost of Nurse-Sensitive Adverse Eventsen_GB
dc.contributor.authorPappas, Sharonen_US
dc.author.detailsSharon Pappas, RN, PhD, NEA-BC, Chief Nursing Officer, Porter Adventist Hospital, Denver, Colorado, USA, email: Sharonpappas@centura.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182037-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: One focus of healthcare reform addresses healthcare value; better patient outcomes at reasonable costs. Nurses have a key role in this focus. Cost impact must be added to the already-established evidence relating nursing care to patient safety and quality. Most hospitals have robust cost accounting systems that provide actual patient level direct costs. They report the costs of the resources consumed by patients during a hospital stay including the costs of resources consumed remediating an adverse event. In addition to quality data, cost data enables nurses to relate their practice to the actual costs of patient care. Data from 3200 inpatients retrieved from hospital administrative databases was analyzed to determine the difference in cost per case of patients with and without an adverse event. Patients were discharged from two hospitals of similar Case Mix Index. The purpose was to establish a methodology to concurrently examine costs and quality outcomes to determine the actual cost of the acute episode of care. Five nurse-sensitive adverse events were analyzed. A regression analysis revealed the actual direct per case cost of an adverse event was $1029 in the medical cases and $903 in the surgical cases. With this information, nurses articulated their financial impact through avoiding the cost of an adverse event. Effective nursing care that manages quality and costs through prevention of adverse events demonstrates healthcare value. Nurses are strategic to the clinical and financial success of the hospital.en_GB
dc.date.available2011-10-28T15:06:11Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:06:11Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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