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| Name | Class |
|---|---|
| Memorial Hermann Texas Medical Center | UNKNOWN |
| Memorial Hermann Health System | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rehab MATRIX | Experimental | Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rehab MATRIX | Other | Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion) | Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Patient Satisfaction as assessed by the Press Ganey Survey | 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 | Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Nneka L Ifejika, MD MPH | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30614934 | Result | Ifejika NL, Okpala MN, Moser HA, Watkins JN, Noser EA. Rehab MATRIX: Content Validity of a Nursing-Led Patient Assignment Algorithm. J Neurosci Nurs. 2019 Feb;51(1):33-36. doi: 10.1097/JNN.0000000000000418. |
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| ID | Term |
|---|---|
| D010549 | Personal Satisfaction |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| 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. | Two weeks prior to initiation, 6 months |