This report describes restructuring on four critical care units at an acute, tertiary care hospital in South-east Pennsylvania. Utilizing a Patient Centered Care conceptual framework that had been successfully applied in the medical-surgical areas, restructuring involved three main areas: revamping of work processes, inclusive of redesigned staff roles; environmental and facility changes; and enhancement of telecommunication and information systems. Preliminary analyses six months post redesign revealed improvements and maintenance in four outcomes areas--satisfaction, quality and efficiency, and costs of care.
Fuss, M. A., Bryan, Y. E., Hitchings, K. S., Fox, M. A., Kinneman, M. T., Skumanich, S., & Young, M. J. (1998). Measuring critical care redesign: impact on satisfaction and quality. Nursing Administration Quarterly, 23(1), 1-14.