Abstract

Patient acuity framework uses real-time patient data to make decisions about staffing levels and assignments. It allows for staff adjustments based on changes in patient condition during a shift. Various acuity system used in current health care sector is Patient based Acuity, Acuity based staffing & triaging. Prototype Tools, Nurse Patient Ratio system, Summative Care Tools & case based tool are some of the patient acuity tools used with a goal to assure the right number and type of staff needed to care for any given patient group. Self-designed patient acuity tool should be simple, efficient, indicators to be objective based & well defined operationally & keeping a tract of it by maintaining KPI. Adaptability & organizational support always pose a challenge in effective implementation of the patient acuity system. Benefits of having patient acuity system is that it ensures fair and equitable distribution of workloads when allocating patient assignments to a nurse of that shift, identifies service demand & allows for proper unit nursing staff planning.

• 1.   https://share.google/bstAVvU5sRtP9rrhQ
• 2.   https://share.google/Od1FNN1idjidwUnb2
• 3.   Abdellah, F., Levine, E. (1979). Better patient care through nursing research. 2nd Ed., New York, NY: McMillan.
• 4.   https://share.google/amQ9OKGMbe 5d7CC4N.
• 5.   https://share.google/14tnjOGInOPjWULc7.
• 6.   Charles C. Yancey; Maria C. O’Rourke, Emergency Department Triage, NIH.
• 7.   De Groot, HA. (1989). Patient classification system evaluation: Essential system elements: part 1. Journal of Nursing Administration, 19(6), 30-35.
• 8.   De Groot, HA. (1989). Patient classification system evaluation: System selection and implementation: part 2. Journal of Nursing Administration, 19(7), 24-30.
• 9.   Bolton, L, Jones, D., Aydin, C., Donaldson, N., Brown, D., Lowe, M., McFarland, P., Harms, D., (2001). A response to California’s mandated nursing ratios. Journal of Nursing Scholarship, 33(2), 179- 184.
• 10.   Acuity, nurse staffing and workforce, missed care and patient outcomes: A cluster-unit-level descriptive comparison J Nurs Manag. 2020 Jun 19;28 (8):2216–2229. doi: 10.1111/jonm.13040.
• 11.   American Nurses Association. Principles for Nurse Staffing, 3rd ed. Silver Spring, MD: ANA; 2020.
• 12.   American Association of Critical-Care Nurses. AACN Synergy Model for Patient Care. Aliso Viejo, CA: AACN.
• 13.   “Validation of a new method for patient classification, the Oulu Patient Classification.” Journal of Advanced Nursing. 2000; 31(2): 481–490.

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Funding