Redesigning the patient classification system in China: A pilot study.

Abstract:

:The current prototype patient classification system in China has not been updated for over six decades. In the present study, we adopted a hybrid patient classification method using both disease severity and activities of daily living scores to classify patients. The time motion approach was used to measure the direct nursing time of 551 general acute care patients. We found that patients in old Categories according to ability of self-care and disease severity 1-4 received approximately 7.1, 4.6, 3.4, and 4.5 h of direct nursing care, and the number of hours was not significantly different between Categories 2, 3, and 4. In contrast, patients in new Categories 1-4 received approximately 10.1, 6.9, 4.4, and 2.4 h of direct nursing care in 24 h. The nursing hours were significantly different between all pairings of the new categories. The new classification system can be used to make nursing care assignments and adjust staffing.

journal_name

Nurs Health Sci

authors

Bai Y,Yao A,Song Y,Xu G

doi

10.1111/nhs.12398

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

181-186

issue

2

eissn

1441-0745

issn

1442-2018

journal_volume

20

pub_type

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