Title
Patient-level analysis of outcomes using structured labor and delivery data
Abstract
This paper presents methods for identifying and analyzing associations among nursing care processes, patient attributes, and patient outcomes using unit-level and patient-level representations of care derived from computerized nurse documentation. The retrospective, descriptive analysis included documented nursing events for 900 Labor and Delivery patients at three hospitals over the 2-month period of January and February 2006. Two models were used to produce quantified measurements of nursing care received by each patient. The first model considered only the hourly census of nurses and patients. The second model considered the size of nurses' patient loads as represented by computerized nurse-entered documentation. Significant relationships were identified between durations of labor and nursing care scores generated by the second model. In addition to the clinical associations identified, the study demonstrated an approach with global application for representing the amount of nursing care received at the individual patient level in analyses of patient outcomes.
Year
DOI
Venue
2009
10.1016/j.jbi.2009.01.008
Journal of Biomedical Informatics
Keywords
Field
DocType
linear models,nursing informatics,obstetrical nursing,process model,retrospective studies,process modeling
Descriptive statistics,Nursing,Information retrieval,Staffing,Family medicine,Nursing Outcomes Classification,Nursing care,Retrospective cohort study,Health informatics,Documentation,Medicine,Obstetrical nursing
Journal
Volume
Issue
ISSN
42
4
1532-0464
Citations 
PageRank 
References 
1
0.66
1
Authors
7
Name
Order
Citations
PageRank
Eric S. Hall173.46
Mollie R. Poynton2134.65
Scott P Narus38325.96
Spencer S Jones4748.45
R. Scott Evans513024.05
Michael W. Varner642.43
Sidney N. Thornton74616.69