Nursing dependency, diagnosis-related groups, and length of hospital stay

Most efforts to modify the diagnosis-related group (DRG) case classification system focus on variables related to medical management. In this study, we investigated the separate but related natures of medicine and nursing by examining 1,288 adult medical and surgical patients in an urban teaching ho...

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Detalles Bibliográficos
Autores principales: Halloran, Edward J., Kiley, Marylou
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1987
Materias:
Research Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192847/
https://www.ncbi.nlm.nih.gov/pubmed/10312114
Descripción
Sumario:Most efforts to modify the diagnosis-related group (DRG) case classification system focus on variables related to medical management. In this study, we investigated the separate but related natures of medicine and nursing by examining 1,288 adult medical and surgical patients in an urban teaching hospital. The complexity of medical treatment was measured by use of the DRG relative cost weight. The nursing indicator was derived from a set of nursing diagnoses. We found that the DRG cost weight is a poor predictor of nursing dependency and that the nursing dependency index added significantly to the DRG weight in explaining length of stay.

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