Patient acuity: A concept analysis

Journal of Advanced Nursing

Volumn 65, Issue 5, 2009, Pages 1114-1126

  Daly, Barbara J ^a,b   Brennan, Caitlin W ^c  

^a CASE WESTERN RESERVE UNIVERSITY   (United States)

^b UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

^c NONE

Author keywords

Acuity; Case mix; Concept analysis; Nurse staffing; Outcomes Model for Health Care Research; Patient classification

Indexed keywords

ARTICLE; HEALTH SERVICES RESEARCH; HUMAN; NOMENCLATURE; PATIENT SATISFACTION;

HEALTH SERVICES RESEARCH; HUMANS; PATIENT SATISFACTION; TERMINOLOGY AS TOPIC;

EID: 63849343684     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2008.04920.x     Document Type: Article

References (175)

1. Abbott P. (2002) Reconfiguration of the high-security hospitals: some lessons from the mental hospital retraction and reprovision programme in the United Kingdom 1960-2000. Journal of Forensic Psychiatry 13, 107 122.
2. Abualrub R.F. (2007) Nursing shortage in Jordan: what is the solution? Journal of Professional Nursing 23, 117 120.
3. Acuity (1996) In Oxford English Dictionary Online, 2nd edn. Oxford University Press. Retrieved from http://www.dictionary.oed.com on 12 August 2008.
4. Acuity (2008) In Merriam-Webster Online Dictionary. Retrieved from http://www.merriam-webster.com/dictionary/acuity on 30 August 2008.
5. Adams R. Duchene P. (1985) Computerization of patient acuity and nursing care planning: new approach to improved patient care and cost-effective staffing. Journal of Nursing Administration 15 (4 11 17.
6. Adams R. Johnson B. (1986) Acuity and staffing under prospective payment. Journal of Nursing Administration 16 (10 21 25.
7. Adams-Wendling L. (2003) Clocking care hours with workload measurement tools. Nursing Management 34 (8 34 39.
8. Adler S. (1974) Methyldopa-induced decrease in mental activity. Journal of the American Medical Association 230, 1428 1429.
9. Aiken L.H., Clarke S.P. Sloane D.M. (2001) Hospital restructuring: does it adversely affect care and outcomes? Journal of Health and Human Services Administration 23, 416 442.
10. Alexander C., Campbell D., Leiferman J., Mabey G., Marken S., Myers C., Pengra A., Reyburn-Orne T., Sundem T.S. Zwingman-Bagley C. (2003) Quality improvement processes in growing a service line: the myriad of opportunities. Nursing Administration Quarterly 27, 297 306.
11. Ambady N., Laplante D. Johnson E. (2001) Thin-slice judgments as a measure of interpersonal sensitivity. In Interpersonal Sensitivity: Theory and Measurement (Hall J.A. Bernieri F.J., eds Lawrence Erlbaum Associates Publishers, Mahwah, NJ, pp. 89 101.
12. Anderson K.L. Rokosky J.S. (2001) Evaluation of a home health patient classification instrument. Western Journal of Nursing Research 23, 56 71.
13. Andro R.J., Robertson S. Glandon G.L. (1987) Financial implications of an acuity-based periodic staff adjustment model. Nursing Management 18 (10 21 25.
14. Angeles T. Barbone M. (1994) Infiltration and phlebitis: assessment, management, and documentation. Journal of Home Health Care Practice 7, 16 21.
15. Anuar A.R. Ibrahim M. (2007) Acute retinal necrosis with devastating visual outcome in an elderly immunocompetent lady. International Medical Journal 14, 109 111.
16. Arling G. Daneman B. (2002) Nursing home case-mix reimbursement in Mississippi and South Dakota. Health Services Research 37, 377 395.
17. Arling G., Kane R.L., Mueller C. Lewis T. (2007) Explaining direct care resource use of nursing home residents: findings from time studies in four states. Health Services Research 42, 827 846.
18. Asell M., Sjolander P., Kerschbaumer H. Djupsjobacka M. (2006) Are lumbar repositioning errors larger among patients with chronic low back pain compared with asymptomatic subjects? Archives of Physical Medicine and Rehabilitation 87, 1170 1176.
19. Atack L., Rankin J.A. Then K.L. (2005) Effectiveness of a 6-week online course in the Canadian Triage and Acuity Scale for emergency nurses. Journal of Emergency Nursing 31, 436.
20. Aube J. Whiffen V.E. (1996) Depressive styles and social acuity: further evidence for distinct interpersonal correlates of dependency and self-criticism. Special Issue: Communication and Psychopathology 23 (4 407 424.
21. Aylott M. (2007) Observing the sick child: part 2c: respiratory auscultation. Paediatric Nursing 19 (3 38 45.
22. Bacchetta M.D., Eachempati S.R., Fins J.J., Hydo L. Barie P.S. (2006) Factors influencing DNR decision-making in a surgical ICU. Journal of the American College of Surgeons 202, 995 1000.
23. Baggerly J. Diblasi M. (1996) Pressure sore prevention in a rehabilitation setting: implementing a programmatic approach. Rehabilitation Nursing 21, 234.
24. Balstad A. Springer P. (2006) Quantifying case management workloads. Lippincott's Case Management 11, 291 304.
25. Bamborschke S., Wullen T. Beil C. (1990) Quantitation of lymphocyte subsets in cerebrospinal fluid and blood during the clinical course of aseptic and bacterial meningitis. European Neurology 30, 291 295.
26. Bard M.R., Goettler C.E., Toschlog E.A., Sagraves S.G., Schenarts P.J., Newell M.A., Fugate M. Rotondo M.F. (2006) Alcohol withdrawal syndrome: turning minor injuries into a major problem. Journal of Trauma 61, 1441 1445.
27. Baumann S.L. (2006) Nursing in Turkey. Nursing Science Quarterly 19, 359 360.
28. Belcher J.V. Munjas B. (1990) Psychiatric-mental health head nurse management concerns. Archives of Psychiatric Nursing 4, 260 263.
29. Bellus S.B., Stewart D., Vergo J.G., Kost P.P., Grace J. Barkstrom S.R. (1996) The use of lithium in the treatment of aggressive behaviours with two brain-injured individuals in a state psychiatric hospital. Brain Injury 10, 849 860.
30. Bernieri F.J. Gillis J.S. (1995) Personality correlates of accuracy in a social perception task. Perceptual and Motor Skills 81, 168 170.
31. Bernstein J., Bernstein E., Dave A., Hardt E., James T., Linden J., Mitchell P., Oishi T. Safi C. (2002) Trained medical interpreters in the emergency department: effects on services, subsequent charges, and follow-up. Journal of Immigrant Health 4, 171 176.
32. Beveridge R. (1998) CAEP issues. The Canadian Triage and Acuity Scale: a new and critical element in health care reform. Canadian Association of Emergency Physicians. Journal of Emergency Medicine 16, 507 511.
33. Bezyack M.E. (1999) Acuity rising in ICUs. Nursing Spectrum - New York & New Jersey Edition 11A (1 NJ1 NJ2.
34. Blegen M.A., Goode C.J. Reed L. (1998) Nurse staffing and patient outcomes. Nursing Research 47, 43 50.
35. Blegen M.A., Vaughn T.E. Goode C.J. (2001) Nurse experience and education: effect on quality of care. Journal of Nursing Administration 31, 33 39.
36. Bodson A., Miersch L. Dehnhardt G. (2007) Underwater localization of pure tones by harbor seals (Phoca vitulina). The Journal of the Acoustical Society of America 122, 2263 2269.
37. Boling P.A., Buck C. Falls K. (1999) Developing a successful house calls team. Home Health Care Consultant 6 (6 24 28.
38. Boltz M.M. (1993) Troubleshooting ophthalmic nursing problems in the geriatric clinic population. Journal of Ophthalmic Nursing & Technology 12, 229 231.
39. Bond A.E., Thomas F.O., Menlove R.L., Macfarlane P. Petersen P. (1993) Scoring acuity hours and costs of nursing for trauma care. American Journal of Critical Care 2, 436 443.
40. Bonynge E.R., Lee R.G. Thurber S. (2005) A profile of mental health crisis response in a rural setting. Community Mental Health Journal 41, 675 685.
41. Boudreaux E.D., Friedman J., Chansky M.E. Baumann B.M. (2004) Emergency department patient satisfaction: examining the role of acuity. Academic Emergency Medicine 11, 162 168.
42. Brady H. Arabi Y. (2005) The challenge of a multicultural environment for critical care nursing in Saudi Arabia. Middle East Journal of Anesthesiology 18, 541 550.
43. Brewer B.B. (2006) Is patient acuity a proxy for patient characteristics of the AACN synergy model for patient care? Nursing Administration Quarterly 30, 351 357.
44. Brisley T., Hargraves M., Long C., Morton C., Poulton G., Rogers M., Snodgrass H. Yates P. (2003) Nurse staffing levels in outpatient chemotherapy settings: a review of the literature. Australian Journal of Cancer Nursing 4 (2 11 14.
45. Brown B. (1999) Leading questions & sensible solutions. Formula for an effective acuity system. Nursing Management 30 (6 14.
46. Brown K.K. Gallant D. (2006) Impacting patient outcomes through design: acuity adaptable care/universal room design. Critical Care Nursing Quarterly 29, 326 341.
47. Brown C.H., Beecher M.D., Moody D.B. Stebbins W.C. (1978) Localization of primate calls by old world monkeys. Science 201, 753 754.
48. Buckle J.M., Horn S.D. Simpson R.L. (1991) Nursing care classification: a conceptual model. Applied Nursing Research 4, 100 106.
49. Burke K. (1998) Can gerontological nursing survive? The Canadian Nurse 94 (4 47 48.
50. Burns N. Carney K. (1986) Patterns of hospice care: the RN role. The Hospice Journal 2, 37 61.
51. Catchpole K.R., Mckeown J.D. Withington D.J. (2004) Localizable auditory warning pulses. Ergonomics 47, 748 771.
52. Cervelli L. (1997) The missing link: structured dialogue between the payer and provider communities on the costs and benefits of medical rehabilitation. Archives of Physical Medicine & Rehabilitation 78, S36 S38.
53. Chang A., Kicis J. Sangha G. (2007) Effect of the clinical support nurse role on work-related stress for nurses on an inpatient pediatric oncology unit. Journal of Pediatric Oncology Nursing 24, 340 349.
54. Cheadle W.G. Spain D.A. (2003) The continuing challenge of intra-abdominal infection. American Journal of Surgery 186, 15S 22S.
55. Cherry D.L. Reed P. (2007) Commentary on "The Healthy Brain Initiative." A community-based perspective. Alzheimer's & Dementia 3 (2 Suppl. 1 S74 S79.
56. Chetney R. (2008) Using telehealth to avoid urgent care and hospitalization. Home Health Care Management & Practice 20, 154 160.
57. Chinn P.L. Kramer M.K. (2004) Integrated Knowledge Development in Nursing, 6th edn. Mosby, St Louis, MO, pp. 37 38
58. Cimiotti J.P. (2004) Nurse Staffing and Healthcare-Associated Infections in the Neonatal ICU. D.N.Sc, Columbia University, Proquest Information and Learning Company, Ann Arbor, MI.
59. Clark F.J., Larwood K.J., Davis M.E. Deffenbacher K.A. (1995) A metric for assessing acuity in positioning joints and limbs. Experimental Brain Research 107, 73 79.
60. Cobb S.C. Cooley M.E. (1988) Nursing rounds: idea to reality. Oncology Nursing Forum 15, 23 27.
61. Cooke T., Watt D., Wertzler W. Quan H. (2006) Patient expectations of emergency department care: Phase II - a cross-sectional survey. The Journal of the Canadian Association of Emergency Physicians 8, 148 157.
62. Covar R.A., Macomber B.A. Szefler S.J. (2005) Medications as asthma triggers. Immunology and Allergy Clinics of North America 25, 169 190.
63. Cowan J.D., Walsh D. Homsi J. (2002) Palliative medicine in a United States cancer center: a prospective study. American Journal of Hospice & Palliative Care 19, 240 250.
64. Craig K. Huber D.L. (2007) Acuity and case management. A healthy dose of outcomes, part II. Professional Case Management 12, 199 212.
65. Curtin L.L. (2003) An integrated analysis of nurse staffing and related variables: effects on patient outcomes. Online Journal of Issues in Nursing 8 (3). Retrieved from http://www.nursingworld.org/MainMenuCategories/ ANAMarketplace/ANAPeriodicals/OJIN/KeynotesofNote/StaffingandVariablesAnalysis. aspx on 20 January 2009.
66. Curtin L.L. (2007) The perfect storm: managed care, aging adults, and a nursing shortage. Nursing Administration Quarterly 31, 105 114.
67. Cusack G., Jones A. Chisholm L. (2004) Patient intensity in an ambulatory oncology research center: a step forward for the field of ambulatory care - part III. Nursing Economic$ 22, 193 195.
68. Dale R.L. Mable R.J. (1983) Nursing Classification System: foundation for personnel planning and control. The Journal of Nursing Administration 13 (2 10 13.
69. Daniels J.H. (2007) Outcomes of emergency severity index five-level triage implementation: clinical and operational metrics. Advanced Emergency Nursing Journal 29, 58 67.
70. Darrab A.A., Fan J., Fernandes C.M.B., Zimmerman R., Smith R., Worster A., Smith T. O'connor K. (2006) How does fast track affect quality of care in the emergency department? European Journal of Emergency Medicine 13, 32 35.
71. Davies J., Tibby S.M. Murdoch I.A. (2005) Should parents accompany critically ill children during inter-hospital transport? Archives of Disease in Childhood 90, 1270 1273.
72. Delisle J. (2008) The development of an acuity tool for staffing based on complexity of patient treatments. Oncology Nursing Forum 35, 536.
73. Detwiler C. Clark M.J. (1995) Acuity classification in the urgent care setting. Journal of Nursing Administration 25, 53 61.
74. Dexter F. Rittenmeyer H. (1997) Measuring productivity of the Phase I postanesthesia care unit. Journal of PeriAnesthesia Nursing 12, 7 11.
75. Dexter F., Wachtel R.E. Epstein R.H. (2006) Impact of average patient acuity on staffing of the phase I PACU. Journal of PeriAnesthesia Nursing 21, 303 310.
76. Diers D. Bozzo J. (1997) Nursing resource definition in DRGs. RIMS/Nursing Acuity Project Group. Nursing Economic$ 15, 124 130.
77. Dirks J.L., Lough M.E. Moungey S.J. (1995) Cross-training across acuity levels. Critical Care Nurse 15 (1 68 74.
78. Dlugacz Y.D., Stier L., Lustbader D., Jacobs M.C., Hussain E. Greenwood A. (2002) Expanding a performance improvement initiative in critical care from hospital to system. The Joint Commission Journal on Quality Improvement 28, 419 434.
79. Doiron D., Hall J. Jones G. (2008) Is there a crisis in nursing retention in New South Wales? Australia and New Zealand Health Policy 5 (1 19.
80. Doloresco L.G. (2005) Applying evidence to design an innovative acuity-adaptable SCI long-term care unit. Spinal Cord Injury Nursing 22, 170 171.
81. Dong S.L., Bullard M.J., Meurer D.P., Blitz S., Akhmetshin E., Ohinmaa A., Holroyd B.R. Rowe B.H. (2007) Predictive validity of a computerized emergency triage tool. Academic Emergency Medicine 14, 16 21.
82. Edel E.M. (1995) A perioperative patient acuity system: planning and design. Nursing Management 26 (5 48N.
83. Ekwall A., Gerdtz M. Manias E. (2008) The influence of patient acuity on satisfaction with emergency care: perspectives of family, friends and carers. Journal of Clinical Nursing 17, 800 809.
84. Ethridge P. (1985) The case for billing by patient acuity. Nursing Management 16 (8 38 41.
85. Fee C., Weber E.J., Maak C.A. Bacchetti P. (2007) Effect of emergency department crowding on time to antibiotics in patients admitted with community-acquired pneumonia. Annals of Emergency Medicine 50, 501.
86. Feng Z., Grabowski D.C., Intrator O., Zinn J. Mor V. (2008) Medicaid payment rates, case-mix reimbursement, and nursing home staffing - 1996-2004. Medical Care 46, 33 40.
87. Ferguson-Pare M.L. (1996) Registered nurses' perception of their autonomy and the factors that influence their autonomy in rehabilitation and long-term care settings. Canadian Journal of Nursing Administration 9, 95 108.
88. Ferrant A. (2004) Programs that work! An acuity-based case weight system for equitable clinician case loads. Home Healthcare Nurse 22, 815 819.
89. Finkler S.A. (1985) Flexible budget variance analysis extended to patient acuity and DRGs. Health Care Management Review 10 (4 21 34.
90. Finkler S.A. (1991) Variance analysis. Part I, Extending flexible budget variance analysis to acuity. The Journal of Nursing Administration 21 (7-8 19 25.
91. Finlayson G., Watson D. Jacobs P. (2003) Strategies for addressing the evolving nursing crisis: the relative cost of inpatient care in Manitoba's largest hospitals. Joint Commission Journal on Quality and Safety 29, 41 50.
92. Fries B.E., Schneider D.P., Foley W.J., Gavazzi M., Burke R. Cornelius E. (1994) Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Medical Care 32, 668 685.
93. Gabriel S.E., Amadio P.C. Ilstrup D. (1997) The feasibility and validity of studies comparing orthopedists and non-orthopedists caring for musculoskeletal injuries: results of a pilot study. Arthritis Care and Research 10, 163 168.
94. Gardulf A., Orton M.L., Eriksson L.E., Unden M., Arnetz B., Kajermo K.N. Nordstrom G. (2008) Factors of importance for work satisfaction among nurses in a university hospital in Sweden. Scandinavian Journal of Caring Sciences 22, 151 160.
95. Gender A.R. (1989) Developing and computerizing a patient classification system in a rehabilitation nursing setting. Rehabilitation Nursing 14, 58.
96. Gimbel R., Tanabe P., Yarnold P.R. Adams J.G. (2004) The Emergency Severity Index (version 3) 5-level triage system scores predict ED resource consumption. Journal of Emergency Nursing 30, 22.
97. Gray J.E., Richardson D.K., Mccormick M.C., Workman-Daniels K. Goldmann D.A. (1992) Neonatal therapeutic intervention scoring system: a therapy-based severity-of-illness index. Pediatrics 90, 561 567.
98. Grogan E.L., Speroff T., Deppen S.A., Roumie C.L., Elasy T.A., Dittus R.S., Rosenbloom S.T. Holzman M.D. (2004) Improving documentation of patient acuity level using a progress note template. Journal of the American College of Surgeons 199, 468 475.
99. Grohar M.E., Myers J. Mcsweeney M. (1986) A comparison of patient acuity and nursing resource use. Journal of Nursing Administration 16 (6 19 23.
100. Gross J.C., Faulkner E.A., Goodrich S.W. Kain M.E. (2001) A patient acuity and staffing tool for stroke rehabilitation inpatients based on the FIM instrument. Rehabilitation Nursing 26, 108 113.
101. Haley D.R., Zhao M., Nolin J.M., Dunning K. Qiang S. (2008) Five myths of the Chinese health care system. Health Care Manager (Frederick) 27, 147 158.
102. Hampton M.D. (2007) The role of treatment setting and high acuity in the overdiagnosis of schizophrenia in African Americans. Archives of Psychiatric Nursing 21, 327 335.
103. Harper K. Mccully C. (2007) Acuity systems dialogue and patient classification system essentials. Nursing Administration Quarterly 31, 284 299.
104. Harries A.D., Danis V.A. Heatley R.V. (1984) Influence of nutritional status on immune functions in patients with Crohn's disease. Gut 25, 465 472.
105. Harris S.J., Farren M.D., Janssen P.A., Klein M.C. Lee S.K. (2004) Single room maternity care: perinatal outcomes, economic costs, and physician preferences. Journal of Obstetrics and Gynaecology Canada 26, 633 640.
106. Harrison J. (2004) Addressing increasing patient acuity and nursing workload. Nursing Management - UK 11 (4 20 25.
107. Harrison T., Thomas S.H. Wedel S.K. (1997) Interhospital aeromedical transports: air medical activation intervals in adult and pediatric trauma patients. American Journal of Emergency Medicine 15, 122 124.
108. Hart M.M. (1985) An OR patient acuity system: variable billing for surgical services. AORN Journal 41, 555 563.
109. Hendrickson G., Doddato T.M. Kovner C.T. (1990) How do nurses use their time? Journal of Nursing Administration 20 (3 31 37.
110. Hickey M.W. (1987) Prospective payment and patient acuity levels...comparing the GRASP data with the functional scores of patients on admission. Rehabilitation Nursing 12, 132 134.
111. Hjortskov N., Hye-Knudsen C. Fallentin N. (2005) Lumbar position sense acuity during an electrical shock stressor. BMC Musculoskeletal Disorders 6, 37.
112. Holzemer W.L. (1994) The impact of nursing care in Latin America and the Caribbean: a focus on outcomes. Journal of Advanced Nursing 20, 5 12.
113. Holzemer W.L. Reilly C.A. (1995) Variables, variability, and variations research: implications for medical informatics. Journal of the American Medical Informatics Association 2, 183 190.
114. Hubble J.C. (1985) Case-mix management in the operating room. Software in Healthcare 3 (3 41 46.
115. Huber D.L. Craig K. (2007) Acuity and case management. A healthy dose of outcomes, part III. Professional Case Management 12, 254 269.
116. Hurst K. (2005) Relationships between patient dependency, nursing workload and quality. International Journal of Nursing Studies 42, 75 84.
117. Irvine D., O'brien-Pallas L.L., Murray M., Cockerill R., Sidani S., Laurie-Shaw B. Lochhaas-Gerlach J. (2000) The reliability and validity of two health status measures for evaluating outcomes of home care nursing. Research in Nursing & Health 23, 43 54.
118. Jones A., Cusack G. Chisholm L. (2004) Patient intensity in an ambulatory oncology research center: a step forward for the field of ambulatory care - part II. Nursing Economic$ 22, 120 123.
119. Keeffe B.G. Otto C.M. (2003) Mitral regurgitation. Minerva Cardioangiologica 51, 29 39.
120. Kemp L.A., Harris E. Comino E.J. (2005) Changes in community nursing in Australia: 1995-2000. Journal of Advanced Nursing 49, 307 314.
121. Kim H., Harris M.R., Savova G.K., Speedie S.M. Chute C.G. (2007) Toward near real-time acuity estimation: a feasibility study. Nursing Research 56, 288 294.
122. Knaus W., Wagner D., Draper E., Zimmerman J., Bergner M., Bastos P., Sirio C., Murphy D., Lotring T. Damiano A. (1991) The APACHE III prognostic system. Risk prediction of hospital mortality for critically ill hospitalized adults. CHEST 100, 1619 1636.
123. Knickman J.R. Snell E.K. (2002) The 2030 problem: caring for aging baby boomers. Health Services Research 37, 849 884.
124. Kumar P. (2007) Providing the providers - remedying Africa's shortage of health care workers. New England Journal of Medicine 356, 2564 2567.
125. Kuo P.C., Plotkin J.S. Johnson L.B. (1998) Acute pancreatitis and fulminant hepatic failure. Journal of the American College of Surgeons 187, 522 528.
126. Lacovara J.E. (1999) Does your acuity system come up short? Nursing Management 30 (6 40A-C.
127. Lemeshow S., Teres D., Klar J., Avrunin J.S., Gehlbach S.H. Rapoport J. (1993) Mortality Probability Models (MPM II) based on an international cohort of intensive care unit patients. Journal of the American Medical Association 270, 2478 2486.
128. Lempert T.E., Halbach V.V., Higashida R.T., Dowd C.F., Urwin R.W., Balousek P.A. Hieshima G.B. (1998) Endovascular treatment of pseudoaneurysms with electrolytically detachable coils. American Journal of Neuroradiology 19, 907 911.
129. Lesser C.S., Ginsburg P.B. Devers K.J. (2003) The end of an era: what became of the "managed care revolution" in 2001? Health Services Research 38, 337 355.
130. Letvak S. Buck R. (2008) Factors influencing work productivity and intent to stay in nursing. Nursing Economic$ 26, 159 165.
131. Loffler M., Weckesser M., Franzius C., Schober O. Zimmer K.P. (2006) High diagnostic value of 18F-FDG-PET in pediatric patients with chronic inflammatory bowel disease. Annals of the New York Academy of Sciences 107, 2379 2385.
132. Lutjens L.R. (1992) Derivation and testing of tenets of a theory of social organizations as adaptive systems. Nursing Science Quarterly 5, 62 71.
133. Lyons J.S., Scherubel J.C., Anderson R.L. Swartz J.A. (1989) Isolating the impact of psychiatric consultations in the general hospital: psychiatric comorbidities and nursing intensity. International Journal of Psychiatry in Medicine 19, 173 180.
134. Mamaril M.E., Sullivan E., Clifford T.L., Newhouse R. Windle P.E. (2007) Safe staffing for the post anesthesia care unit: weighing the evidence and identifying the gaps. Journal of PeriAnesthesia Nursing 22, 393 399.
135. Marcin J.P. Pollack M.M. (2007) Review of the acuity scoring systems for the pediatric intensive care unit and their use in quality improvement. Journal of Intensive Care Medicine 22, 131 140.
136. Martin E. (2001) The CGHA asthma management program and its effect upon pediatric asthma admission rates. Clinical Pediatrics 40, 425 434.
137. Mayo A.M. Van Slyck A. (1999) Developing staffing standards: statistical considerations for patient care administrators. Journal of Nursing Administration 29 (10 43 48.
138. McNeal P., Hutelmyer C. Abrami P. (1987) Making it work right for you: acuity recording and professional nursing care. Nursing Management 18 (10 50 54.
139. Miller D.K., Lewis L.M., Nork M.J. Morley J.E. (1996) Controlled trial of a geriatric case-finding and liaison service in an emergency department. Journal of the American Geriatrics Society 44, 513 520.
140. Morse J.M. (1995) Exploring the theoretical basis of nursing using advanced techniques of concept analysis. Advances in Nursing Science 17 (3 31 46.
141. Moss M.T., O'connor S.A. Windle P.E. (1994) A perioperative acuity measurement system. Nursing Management 25 (11 64A.
142. Nufer K.E. Wilson-Ramirez G. (2004) A comparison of patient needs following two hurricanes. Prehospital & Disaster Medicine 19, 146 149.
143. Parrinello K.M. (1987) Accounting for patient acuity in an ambulatory surgery center. Nursing Economic$ 5, 167 172.
144. Ratzinger G., Burgdorf W., Zelger B.G. Zelger B. (2007) Acute febrile neutrophilic dermatosis: a histopathologic study of 31 cases with review of literature. The American Journal of Dermatopathology 29, 125 133.
145. Rogers A.J., Delgado C.A. Simon H.K. (2004) The effect of limited English proficiency on admission rates from a pediatric ED: stratification by triage acuity. American Journal of Emergency Medicine 22, 534 536.
146. Sapountzi-Krepia D., Lavdaniti M., Psychogiou M., Arsenos P., Paralikas T., Triantafylidou P. Georgiadou C. (2008) Nursing staff shortage and in-hospital informal care in an oncology hospital in Greece: the nursing staff's perceptions. International Journal of Nursing Practice 14, 256 263.
147. Schroeder R.E., Rhodes A.M. Shields R.E. (1984) Nurse acuity systems: CASH vs. GRASP: (a determination of nurse staff requirements). Nursing Forum 21, 72 77.
148. Scribante J. Bhagwanjee S. (2007) National audit of critical care resources in South Africa - nursing profile. South African Medical Journal 97, 1315 1318.
149. Seago J.A., Ash M., Spetz J., Coffman J. Grumbach K. (2001) Hospital registered nurse shortages: environmental, patient, and institutional predictors. Health Services Research 36, 831 852.
150. Shaha S.H. (1995) Acuity systems and control charting. Quality Management in Health Care 3 (3 22 30.
151. Shaha S.H. Bush C. (1996) Fixing acuity: a professional approach to patient classification and staffing. Nursing Economic$ 14, 346 356.
152. Sheean P. Braunschweig C. (2006) The incidence and impact of dextrose dose on hyperglycemia from parenteral nutrition (PN) exposure in hematopoietic stem cell transplant (HSCT) recipients. Journal of Parenteral & Eternal Nutrition 30, 345 350.
153. Sheedy S. (1989) Responding to patients: the unit hostess. Journal of Nursing Administration 19 (4 31 33.
154. Sherman P.S. Ryan C.S. (1998) Intensity and duration of intensive case management services. Psychiatric Services 49, 1585 1589.
155. Shiraga F., Takasu I. Shiragami C. (1998) Treatment options in subfoveal choroidal neovascularization secondary to age-related macular degeneration. Seminars in Ophthalmology 13, 31 39.
156. Simon H.K., Ledbetter D.A. Wright J. (1997) Societal savings by "fast tracking" lower acuity patients in an urban pediatric emergency department. American Journal of Emergency Medicine 15, 551 554.
157. Sjolander P., Michaelson P., Jaric S. Djupsjobacka M. (2008) Sensorimotor disturbances in chronic neck pain - range of motion, peak velocity, smoothness of movement, and repositioning acuity. Manual Therapy 13, 122 131.
158. Smith A.L., Ramsey B.W., Hedges D.L., Hack B., Williams-Warren J., Weber A., Gore E.J. Redding G.J. (1989) Safety of aerosol tobramycin administration for 3 months to patients with cystic fibrosis. Pediatric Pulmonology 7, 265 271.
159. Sovie M.D., Tarcinale M.A., Vanputee A.W. Stunden A.E. (1985) Amalgam of nursing acuity, DRGs and costs. Nursing Management 16 (3 22.
160. Spiegel K.S. (2001) Reliability and Validity Testing of an Acuity Tool for use in the Long-Term Acute Care Hospital Setting. PhD Thesis, Texas Woman's University, Proquest Information and Learning Company, Ann Arbor, MI.
161. Stull M.K. Vernon J.A. (1986) Rising patient acuity: nursing care needs are changing in facilities. Journal of Gerontological Nursing 12 (2 15 19.
162. Sudilovsky A., Turnbull B., Croog S.H. Crook T. (1988) Angiotensin converting enzyme and memory: preclinical and clinical data. International Journal of Neurology 21-22, 145 162.
163. Testa M.A., Turner R.R., Simonson D.C., Krafcik M.B., Calvo C. Luque-Otero M. (1998) Quality of life and calcium channel blockade with nifedipine GITS versus amlodipine in hypertensive patients in Spain. Gastrointestinal Therapeutic System. Journal of Hypertension 16 (12 Part 1 1839 1847.
164. Tsen L.C., Segal S., Pothier M., Hartley L.H. Bader A.M. (2002) The effect of alterations in a preoperative assessment clinic on reducing the number and improving the yield of cardiology consultations. Anesthesia and Analgesia 95, 1563 1568.
165. Upenieks V.V., Kotlerman J., Akhavan J., Esser J. Ngo M.J. (2007) Assessing nursing staffing ratios: variability in workload intensity. Policy, Politics, & Nursing Practice 8, 7 19.
166. Urbanowicz J.A. (1999) An evaluation of an acuity system as it applies to a cardiac catheterization laboratory modified EMERGE system. Computers in Nursing 17, 129 134.
167. Van Slyck A. (1991) A systems approach to the management of nursing services - Part II: Patient classification system. Nursing Management 22 (4 23 25.
168. Vanputte A.W., Sovie M.D., Tarcinale M.A. Stunden A.E. (1985) Accounting for patient acuity: the nursing time dimension. Nursing Management 16 (10 27.
169. Vaughan R.G. Macleod V. (1985) Comparing acuity among hospitals. Who has the sickest patients?. The Journal of Nursing Administration 15 (5 25 28.
170. Weinstein J.W., Mazon D., Pantelick E., Reagan-Cirincione P., Dembry L.M. Hierholzer W.J. Jr. (1999) A decade of prevalence surveys in a tertiary-care center: trends in nosocomial infection rates, device utilization, and patient acuity. Infection Control & Hospital Epidemiology 20, 543 548.
171. Wickel D.J., Cheadle W.G., Mercer-Jones M.A. Garrison R.N. (1997) Poor outcome from peritonitis is caused by disease acuity and organ failure, not recurrent peritoneal infection. Annals of Surgery 225, 744 753.
172. Williams B.D., Schweitzer M.E., Weishaupt D., Lerman J., Rubenstein D.L., Miller L.S. Rosenberg Z.S. (2001) Partial tears of the distal biceps tendon: MR appearance and associated clinical findings. Skeletal Radiology 30, 560 564.
173. Wootton R., Bryson E., Elsasser U., Freeman H., Green J.R., Hesp R., Hudson E.A., Klenerman L., Smith T. Zanelli J. (1982) Risk factors for fractured neck of femur in the elderly. Age and Ageing 11, 160 168.
174. Wright M.S. Litaker D. (1996) Childhood victims of violence. Hospital utilization by children with intentional injuries. Archives of Pediatrics & Adolescent Medicine 150, 415 420.
175. Zupancic J.A. Richardson D.K. (1998) Characterization of the triage process in neonatal intensive care. Pediatrics 102, 1432 1436.