ORGANIZATION DESIGN AND PATIENT OUTCOMES

Project: Research project

Description

Acute care delivery systems are in a state of crisis. Financial constraints imposed by health care reform have caused many hospitals to reorganize services and downsize staff. Much of this redesign has been done without benefit of empirical testing. The purpose of this research is to test alternative organization theories Perrow's framework for organizational analysis, structural contingency theory, and sociotechnical systems theory for best fit with quality patient and organization outcomes. Five patient outcomes, failure to rescue, complications, mortality, patient falls, medication administration errors and one organizational outcome, cost per case mix adjusted adjusted discharge will be measured. An ex post facto cross-sectional quantitative research design will be used to understand the relationships among the phenomena of interest. Causal modeling will be used to test for causation among the model variables.
StatusActive
Effective start/end date8/1/99 → …

Funding

  • National Institutes of Health: $13,151.00
  • National Institutes of Health: $21,105.00
  • National Institutes of Health: $19,833.00

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Organization design
Patient outcomes
Contingency theory
Medication
Causal modeling
Organization theory
Socio-technical systems
Research design
Redesign
Causation
Mortality
Costs
Case mix
Staff
Organizational outcomes
Quantitative research
Financial constraints
Health care reform
Organizational analysis
Systems theory

ASJC

  • Medicine(all)
  • Nursing(all)