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Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies

PURPOSE: Prescriptive and predictive analytics and artificial intelligence (AI) provide tools to analyze data with objectivity. In this paper, we provide an overview of how these techniques can improve nursing care, and we detail a quantitative model to afford managerial insights about care manageme...

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Autores principales: Moreno‐Fergusson, María Elisa, Guerrero Rueda, William Javier, Ortiz Basto, Germán A., Arevalo Sandoval, Indira Alba Lucia, Sanchez–Herrera, Beatriz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297932/
https://www.ncbi.nlm.nih.gov/pubmed/34668285
http://dx.doi.org/10.1111/jnu.12711
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author Moreno‐Fergusson, María Elisa
Guerrero Rueda, William Javier
Ortiz Basto, Germán A.
Arevalo Sandoval, Indira Alba Lucia
Sanchez–Herrera, Beatriz
author_facet Moreno‐Fergusson, María Elisa
Guerrero Rueda, William Javier
Ortiz Basto, Germán A.
Arevalo Sandoval, Indira Alba Lucia
Sanchez–Herrera, Beatriz
author_sort Moreno‐Fergusson, María Elisa
collection PubMed
description PURPOSE: Prescriptive and predictive analytics and artificial intelligence (AI) provide tools to analyze data with objectivity. In this paper, we provide an overview of how these techniques can improve nursing care, and we detail a quantitative model to afford managerial insights about care management in a Hospital in Colombia. Our main purpose is to provide tools to improve key performance indicators for the care management of inpatients which includes the nurse workload. METHODS: The optimal nurse‐to‐patient assignment problem is addressed using analytics, lean health care, and AI. Also, we propose a new mathematical model to optimize the nurse‐to‐patient assignment decisions considering several variables about the patient state such as the Barthel index, their risks, the complexity of the care, and the mental state. FINDINGS: Our results show that there are several processes inherent to compassionate nursing care that can be improved using technology. By using data analytics, we can also provide insights about the high variability of the care requirements and, by using models, find nurse‐to‐patient assignments that are nearly perfectly balanced. CONCLUSIONS: We illustrated this improvement with a pilot test that makes the equitable distribution of nursing workload the functionality of this strategy. The findings can be useful in highly complex hospitals in Latin America. CLINICAL RELEVANCE: The proposed model presents an opportunity to make near perfectly balanced nurse‐to‐patient assignments according to the number of patients and their health conditions using technology.
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spelling pubmed-92979322022-07-21 Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies Moreno‐Fergusson, María Elisa Guerrero Rueda, William Javier Ortiz Basto, Germán A. Arevalo Sandoval, Indira Alba Lucia Sanchez–Herrera, Beatriz J Nurs Scholarsh Digital Health PURPOSE: Prescriptive and predictive analytics and artificial intelligence (AI) provide tools to analyze data with objectivity. In this paper, we provide an overview of how these techniques can improve nursing care, and we detail a quantitative model to afford managerial insights about care management in a Hospital in Colombia. Our main purpose is to provide tools to improve key performance indicators for the care management of inpatients which includes the nurse workload. METHODS: The optimal nurse‐to‐patient assignment problem is addressed using analytics, lean health care, and AI. Also, we propose a new mathematical model to optimize the nurse‐to‐patient assignment decisions considering several variables about the patient state such as the Barthel index, their risks, the complexity of the care, and the mental state. FINDINGS: Our results show that there are several processes inherent to compassionate nursing care that can be improved using technology. By using data analytics, we can also provide insights about the high variability of the care requirements and, by using models, find nurse‐to‐patient assignments that are nearly perfectly balanced. CONCLUSIONS: We illustrated this improvement with a pilot test that makes the equitable distribution of nursing workload the functionality of this strategy. The findings can be useful in highly complex hospitals in Latin America. CLINICAL RELEVANCE: The proposed model presents an opportunity to make near perfectly balanced nurse‐to‐patient assignments according to the number of patients and their health conditions using technology. John Wiley and Sons Inc. 2021-10-19 2021-11 /pmc/articles/PMC9297932/ /pubmed/34668285 http://dx.doi.org/10.1111/jnu.12711 Text en © 2021 The Authors. Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Digital Health
Moreno‐Fergusson, María Elisa
Guerrero Rueda, William Javier
Ortiz Basto, Germán A.
Arevalo Sandoval, Indira Alba Lucia
Sanchez–Herrera, Beatriz
Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title_full Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title_fullStr Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title_full_unstemmed Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title_short Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies
title_sort analytics and lean health care to address nurse care management challenges for inpatients in emerging economies
topic Digital Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297932/
https://www.ncbi.nlm.nih.gov/pubmed/34668285
http://dx.doi.org/10.1111/jnu.12711
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