Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality

Not Applicable

Completed

• Conditions: Nurse's Role; Nurse-Patient Relations; Satisfaction; Patient Fall
• Interventions: Other: Rehab MATRIX

• Registration Number: NCT02850952
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.

Detailed Description

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 Timeline

• Study Start: 2016-07
• Study First Submitted: 2016-07-21
• Study First Submitted QC: 2016-07-27
• Study First Posted: 2016-08-01
• Primary Completion: 2017-01
• Study Completion: 2017-01
• Status Verified: 2020-08
• Last Update Submitted: 2020-08-16
• Last Update Posted: 2020-08-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Rehabilitation Nursing Staff within Six Study Centers
• Patient hospitalized within the Rehabilitation Unit during the study period

Exclusion Criteria

• Other Nursing Staff
• Patients hospitalized on non-rehabilitation units

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Rehab MATRIX	Rehab MATRIX	Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.

Primary Outcome Measures

Name	Time	Method
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

Secondary Outcome Measures

Name	Time	Method
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
Change in Nursing Satisfaction as assessed by a survey	Two weeks prior to initiation, 6 months	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.

Trial Locations

Locations (1)

University of Texas Health Science Center at Houston; 🇺🇸 Houston, Texas, United States