Measuring Critical Care Redesign: Impact on Satisfaction and Quality

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Abstract

This report describes restructuring on four critical care units at an acute, tertiary care hospital in Southeast Pennsylvania. Utilizing a Patient Centered Care conceptual framework that had been successfully applied in the medical-surgical areas, restructuring involved three main areas: revamping of work processes, inclusive of redesigned staff roles; environmental and facility changes; and enhancement of telecommunication and information systems. Preliminary analyses six months post redesign revealed improvements and maintenance in four outcomes areas—satisfaction, quality and efficiency, and costs of care.

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