To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.
The provision of efficient and conscientious nursing care is at the forefront of health care quality. Unfortunately, a lack of objectivity in the assignment of patients to nurses can lead to inequalities of care. Such inequalities translate to poor patient outcomes and diminished patient satisfaction. Furthermore, staff attrition related to nursing fatigue increases the cost of care due to a reliance on supplemental nurses. Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
40
Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.
University of Texas Health Science Center at Houston
Houston, Texas, United States
Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion)
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months
Change in Patient Satisfaction as assessed by the Press Ganey Survey
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months
Change in Nursing Fatigue as assessed by number of unexcused nurse absences
Time frame: Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months
Change in Nursing Satisfaction as assessed by a survey
Two weeks prior to Rehab MATRIX initiation, a six question pre-implementation survey will be distributed via Survey Monkey to the nursing staff, evaluating nurse perceptions of the traditional nursing assignment. Questions 1 to 4 will be measured on a Likert Scale of 1 to 5; 1 - strongly disagree, 2 - disagree, 3 - neutral, 4 - agree, 5 - strongly agree. At the end of the six month study period, a post-implementation Rehab MATRIX survey will be distributed at each center via Survey Monkey, examining the impact of Rehab MATRIX on workload equity, fairness, the role of seniority and overall satisfaction with the nurse assignment process.
Time frame: Two weeks prior to initiation, 6 months
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