PMID- 28864437
OWN - NLM
STAT- MEDLINE
DCOM- 20180716
LR  - 20180716
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 26
IP  - 5
DP  - 2017 Sep
TI  - Organizational Factors Associated With Perceived Quality of Patient Care in
      Closed Intensive Care Units.
PG  - 401-407
LID - 10.4037/ajcc2017494 [doi]
AB  - BACKGROUND: Improving patient care quality in intensive care units is
      increasingly important as intensive care unit services account for a growing
      proportion of hospital services. Organizational factors associated with quality
      of patient care in such units have been identified; however, most were examined
      in isolation, making it difficult to assess the relative importance of each.
      Furthermore, though most intensive care units now use a closed model, little
      research has been done in this specific context. OBJECTIVES: To examine the
      relative importance of organizational factors associated with patient care
      quality in closed intensive care units. METHOD: In a national exploratory,
      cross-sectional study focused on intensive care units at US Veterans Health
      Administration acute care hospitals, unit directors were surveyed about nurse and
      physician staffing, work resources and training, patient care coordination,
      rounding, and perceptions of patient care quality. Administrative records yielded
      data on patient volume and facility teaching status. Descriptive statistics,
      bivariate analyses, and regression modeling were used for data analysis. RESULTS:
      Sixty-nine completed surveys from directors of closed intensive care units were
      returned. Regression model results showed that better patient care coordination
      (beta = 0.43; P = .01) and having adequate work resources (beta = 0.26; P = .02) 
      were significantly associated with higher levels of patient care quality in such 
      units (R(2) = 0.22). CONCLUSIONS: Augmenting work resources and/or focusing
      limited hospital resources on improving patient care coordination may be the most
      productive ways to improve patient care quality in closed intensive care units.
CI  - (c)2017 American Association of Critical-Care Nurses.
FAU - McIntosh, Nathalie
AU  - McIntosh N
AD  - Nathalie McIntosh is a health services researcher and David Mohr is a research
      health scientist, Center for Healthcare, Organization and Implementation
      Research, VA Boston Healthcare System, Boston, Massachusetts. Eva Oppel is a
      postdoctoral fellow, Hamburg Center for Health Economics, University of Hamburg, 
      Hamburg, Germany. Mark Meterko is a survey methodologist, VHA Office of Analytics
      and Business Intelligence, Bedford, Massachusetts, and a research associate
      professor, Department of Health Law, Policy and Management, Boston University
      School of Public Health, Boston, Massachusetts. nathalie.mcintosh@va.gov.
FAU - Oppel, Eva
AU  - Oppel E
AD  - Nathalie McIntosh is a health services researcher and David Mohr is a research
      health scientist, Center for Healthcare, Organization and Implementation
      Research, VA Boston Healthcare System, Boston, Massachusetts. Eva Oppel is a
      postdoctoral fellow, Hamburg Center for Health Economics, University of Hamburg, 
      Hamburg, Germany. Mark Meterko is a survey methodologist, VHA Office of Analytics
      and Business Intelligence, Bedford, Massachusetts, and a research associate
      professor, Department of Health Law, Policy and Management, Boston University
      School of Public Health, Boston, Massachusetts.
FAU - Mohr, David
AU  - Mohr D
AD  - Nathalie McIntosh is a health services researcher and David Mohr is a research
      health scientist, Center for Healthcare, Organization and Implementation
      Research, VA Boston Healthcare System, Boston, Massachusetts. Eva Oppel is a
      postdoctoral fellow, Hamburg Center for Health Economics, University of Hamburg, 
      Hamburg, Germany. Mark Meterko is a survey methodologist, VHA Office of Analytics
      and Business Intelligence, Bedford, Massachusetts, and a research associate
      professor, Department of Health Law, Policy and Management, Boston University
      School of Public Health, Boston, Massachusetts.
FAU - Meterko, Mark
AU  - Meterko M
AD  - Nathalie McIntosh is a health services researcher and David Mohr is a research
      health scientist, Center for Healthcare, Organization and Implementation
      Research, VA Boston Healthcare System, Boston, Massachusetts. Eva Oppel is a
      postdoctoral fellow, Hamburg Center for Health Economics, University of Hamburg, 
      Hamburg, Germany. Mark Meterko is a survey methodologist, VHA Office of Analytics
      and Business Intelligence, Bedford, Massachusetts, and a research associate
      professor, Department of Health Law, Policy and Management, Boston University
      School of Public Health, Boston, Massachusetts.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
SB  - IM
SB  - N
MH  - *Attitude of Health Personnel
MH  - Cross-Sectional Studies
MH  - Hospitals, Veterans/*organization & administration/*standards
MH  - Humans
MH  - Intensive Care Units/*organization & administration/*standards
MH  - Quality of Health Care/*standards
MH  - United States
MH  - United States Department of Veterans Affairs
EDAT- 2017/09/03 06:00
MHDA- 2018/07/17 06:00
CRDT- 2017/09/03 06:00
PHST- 2017/09/03 06:00 [entrez]
PHST- 2017/09/03 06:00 [pubmed]
PHST- 2018/07/17 06:00 [medline]
AID - 26/5/401 [pii]
AID - 10.4037/ajcc2017494 [doi]
PST - ppublish
SO  - Am J Crit Care. 2017 Sep;26(5):401-407. doi: 10.4037/ajcc2017494.