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A Staffing-Effectiveness Methodology for Analyzing Human Resource and Clinical/Service Screening Indicator Data

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Background: The Hospital of the University of Pennsylvania (Philadelphia), a university-affiliated academic health center, developed and pilot tested a method for analyzing staffing effectiveness.

Screening Indicators: Human resource screening indicators chosen for analysis included direct caregiver indicators (based on nursing and allied health resource data), such as registered nurse (R.N.) turnover rate, and indirect caregiver indicators (based on overall health care organization resource data), such as overall hospital turnover rate. Clinical/service screening indicators consisted of five nursing-sensitive outcome variables.

Data Collection: Patient unit-based data collection at the hospital was institutionally aggregated on a quarterly basis for all human resource and clinical service indicators. Initial methodological development and pilot testing focused on statistical process control chart (SPCC) methodology for longitudinal measurements and the use of spider diagrams for examination of potential relationships within and among all variables, with all variables considered simultaneously in an interrelational analytical process.

Discussion: The design, development, and pilot-testing of the staffing-effectiveness methodology led to recommendations for clinical and operational interventions.

Document Type: Research Article

Publication date: June 1, 2004

More about this publication?
  • Published monthly, The Joint Commission Journal on Quality and Patient Safety is a peer-reviewed publication dedicated to providing health professionals with the information they need to promote the quality and safety of health care. The Joint Commission Journal on Quality and Patient Safety invites original manuscripts on the development, adaptation, and/or implementation of innovative thinking, strategies, and practices in improving quality and safety in health care. Case studies, program or project reports, reports of new methodologies or new applications of methodologies, research studies on the effectiveness of improvement interventions, and commentaries on issues and practices are all considered.

    Also known as Joint Commission Journal on Quality Improvement and Joint Commission Journal on Quality and Safety
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