Discussion on nursing performance evaluation based on diagnosis-related groups
10.3760/cma.j.issn.1000-6672.2019.05.006
- VernacularTitle:基于DRGs的湖北省某医院护理绩效评价研究
- Author:
Jingchen HU
1
;
Xuan SUN
;
Yu LI
;
Yijia CHENG
;
Mingxiao LIU
;
Jinghui FAN
Author Information
1. 武汉大学人民医院医疗质量管理办公室 430060
- Keywords:
Diagnosis-related groups;
Weighted rank-sum ratio method;
Nursing performance;
Comprehensive evaluation
- From:
Chinese Journal of Hospital Administration
2019;35(5):376-380
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the scientificity and feasibility of using weighted rank-sum ratio (RSR) method based on diagnosis-related groups ( DRGs) indicators in nursing performance evaluation. Methods Homepage data of medical records were extracted from inpatients discharged in 2017, and " CN-DRGs" burster was used to obtain the DRGs data. Data of medical safety were obtained from the nursing adverse event management system, while data of nursing grading information and medical expenses were obtained from the hospital information system, and the patient satisfaction was obtained in a questionnaire survey. Based on the indicators available, the weighted RSR was applied to evaluate the nursing performance from the 11 dimensions, namely workload, nursing competence, nursing quality, nursing personnel allocation, patient satisfaction, etc. Results The results of the weighted RSR showed that 43, 39, and 6 wards of total 88 wards of the hospital were rated as excellent, medium and poor grades respectively. The results of ANOVA showed that the difference of the 3 grades was significant (F=170. 391, P<0.001). The nursing performance evaluation results were consistent with the actual situation. Conclusions The evaluation of nursing performance with weighted RSR method based on DRGs indicators prove its practical application value, as this method can not only provide data support for nursing personnel allocation, but also provide reference for nursing quality evaluation and supervision.
