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Table 4 Secondary outcome of nursing-sensitive quality indicator comparison between the fixed nurse team period and the non-fixed nurse team period

From: Effects of a fixed nurse team in the orthopaedic surgery operating room on work efficiency and patient outcomes: a propensity score-matched historically controlled study

Nursing-sensitive quality indicators

Fixed nurse team period

n (%)

Nonfixed nurse team period

n (%)

Odds ratio (95% confidence interval)

χ2

P Value

Patient safety indicators

 Surgical patient assessment rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Surgery location mark assessment rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Allergy history assessment rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Rate of assessing antibiotics use 60 minutes before incision, n (%)

2891 (100)

2474 (100)

-

-

-

 Expected surgical time assessment rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Sterilisation indicator results assessment rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Surgical equipment and surgical materials availability rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Surgery name confirmation rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Surgical tools inventory rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Surgical specimen checking rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Postoperative surgical equipment inspection rate, n (%)

2891 (100)

2474 (100)

-

-

-

 Patient acute pressure ulcer rate during surgery, n (%)

5 (0.17)

6 (0.24)

0.715 (0.172 to 2.816)

0.31

0.578

 Rate of leaving surgical foreign objects behind, n (%)

0 (0)

0 (0)

-

-

-

 Rate of perioperative drug use, n (%)

2891 (100)

2474 (100)

-

-

-

 Transfusion reaction rate during the surgical period, n (%)

0 (0)

1 (0.04)

-

1.17

0.280

 Unplanned extubation rate, n (%)

2 (0.07)

1 (0.04)

1.712 (0.089 to 101.033)

0.20

0.657

 Incidence of needle punctures among medical personnel, n (%)

5 (0.17)

7 (0.28)

0.610 (0.153 to 2.395)

0.72

0.395

 Incidence of surgical patients falling or falling out of bed, n (%)

3 (0.10)

2 (0.08)

1.284 (0.147 to 15.382)

0.08

0.784

 Incidence of electrical burns among surgical patients, n (%)

1 (0.03)

1 (0.04)

0.856 (0.011 to 67.194)

0.01

0.912

Efficiency indicator

 Rate of delaying the operation start time a, n (%)

294 (10.17)

291 (11.76)

0.849 (0.713 to 1.012)

3.48

0.062

Turnover rate of each surgery b, n (%)

123 (9.3)

161 (13.6)

0.653 (0.505 to 0.844)

11.33

<0.001

Crisis indicators

 Crisis training completion rate c, n (%)

10 (83.3)

19 (90.5)

0.526 (0.034 to 8.449)

0.37

0.545

Safety climate

 Surgeon satisfaction d, median (interquartile range)

81.7 (79.9-86.8)

80 (76.6-80.1)

1.543 (1.039 to 2.292)

4.626

0.031

  1. aThe denominator is 768 first operations days in each year; bThe denominator is 1183 times and 1318 times for the non-fixed nurse team period and the fixed nurse team period, respectively; a positive event is defined as more than 30 minutes for the turnover time between two surgical procedures; cThe data are the year-end assessment pass rate in 12 nurses and 21 nurses in the FNT period and the non-FNT period, respectively (≥80, full score 100); dThe surgeon satisfaction score was a nonnormally distributed continuous variable, we calculated the odds ratio and 95% confidence interval (CI) by a logistic regression analysis
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BMC Nursing

ISSN: 1472-6955

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