1. Analytics and Lean Health Care to Address Nurse Care Management Challenges for Inpatients in Emerging Economies.
- Author
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Moreno‐Fergusson, María Elisa, Guerrero Rueda, William Javier, Ortiz Basto, Germán A., Arevalo Sandoval, Indira Alba Lucia, and Sanchez–Herrera, Beatriz
- Subjects
NURSING audit ,HOSPITALS ,MEDICAL quality control ,KEY performance indicators (Management) ,META-analysis ,RESEARCH methodology ,NURSING services administration ,QUANTITATIVE research ,MEDICAL care ,PATIENTS ,ARTIFICIAL intelligence ,MATHEMATICAL variables ,PSYCHOLOGY of nurses ,QUALITY assurance ,EMPLOYEES' workload ,CLINICAL medicine ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,MANAGEMENT ,BARTHEL Index ,ELECTRONIC health records ,NURSE-patient ratio ,NURSING records - Abstract
Purpose: Prescriptive and predictive analytics and artificial intelligence (AI) provide tools to analyze data with objectivity. In this paper, we provide an overview of how these techniques can improve nursing care, and we detail a quantitative model to afford managerial insights about care management in a Hospital in Colombia. Our main purpose is to provide tools to improve key performance indicators for the care management of inpatients which includes the nurse workload. Methods: The optimal nurse‐to‐patient assignment problem is addressed using analytics, lean health care, and AI. Also, we propose a new mathematical model to optimize the nurse‐to‐patient assignment decisions considering several variables about the patient state such as the Barthel index, their risks, the complexity of the care, and the mental state. Findings: Our results show that there are several processes inherent to compassionate nursing care that can be improved using technology. By using data analytics, we can also provide insights about the high variability of the care requirements and, by using models, find nurse‐to‐patient assignments that are nearly perfectly balanced. Conclusions: We illustrated this improvement with a pilot test that makes the equitable distribution of nursing workload the functionality of this strategy. The findings can be useful in highly complex hospitals in Latin America. Clinical Relevance: The proposed model presents an opportunity to make near perfectly balanced nurse‐to‐patient assignments according to the number of patients and their health conditions using technology. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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