Nurse Sensitive Patient Outcomes

More and more pressure is being applied to nursing to demonstrate accountability for patient outcomes.  Pay for performance measures that have been implemented by Medicare and Medicaid mean that preventable complications will not be covered for payment.  So if patient develop decubiti, post op wound infections, urinary infections following catherization and pneumonia following placement on a vent, the care can be deemed substandard and the cost of care must be covered by the hospital.  As we face the challenge of accountability not simply for the process of care, but for the outcome of care it means that nurses must make an effort to study their interventions and make sure that the best possible evidence based care is being used for all patients.  Does you health system provide a way for you to gather information about best practice for procedures and completion of nursing care?  How does your system educate staff about the latest nursing research findings?  Do you personally know how to access these findings online and are you given the time and resources to complete this review.  I would be interested in hearing from you about your work with nurse sensitive outcomes in your field and in your setting. Thanks much, DIann

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