An Implicit Review Method for Measuring the Quality of In-hospital Nursing Care of Elderly Congestive Heart Failure Patients

by Marjorie L. Pearson, Betty L. Chang, Jan L. Lee, Katherine L. Kahn, Lisa V. Rubenstein

Download

Full Document

FormatFile SizeNotes
PDF file 6.8 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback116 pages $13.00 $10.40 20% Web Discount

This manuscript documents the development of an implicit review method for assessing the quality of in-hospital nursing care for congestive heart failure patients. The steps described include the adoption of a conceptual framework for nursing quality, nursing expert review, development of the Congestive Heart Failure Implicit Review Form and Instruction Manual (reproduced in Appendices B and C), and the selection and training of reviewers. Key principles of implicit review are summarized, and the medical record sample is described. The Congestive Heart Failure Review Form consists of 19 questions. To structure the quality review, these questions guide the reviewer through specific aspects of nursing process: 1) assessment, 2) identification of problems, and 3) problem management, including development of nursing goals, interventions, and evaluation. The form then asks reviewers to rate the overall quality of care. It also collects information on patient acuity, expected outcomes, adverse events, and charting methods.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.