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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (3): 22-26.doi: 10.16460/j.issn1008-9969.2025.03.022

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Application of diagnosis-related group based on Ridit analysis and rank sum ratio method in nursing performance management

LI Miao-miaoa, XIONG Li-juana, QI Leib, LI Minb, XIANG Yu-tinga   

  1. a. Dept. of Nursing; b. Dept. of Operational Management, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2024-10-02 Published:2025-03-06

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Abstract: Objective To explore the scientificity and feasibility of nursing risk indicators and diagnosis related group (DRG) indicators to comprehensively evaluate nursing performance in various departments. Methods Nursing risk indicators were determined by expert consultations,including nursing level, catheter, fall, thrombus, pressure sore and self-care ability. Nursing risk coefficient of each department was evaluated by Ridit analysis from March to July 2023. Nursing risk coefficient and DRG indicators of each department were incorporated into the performance evaluation system. Rank sum ratio (RSR) method was applied to comprehensively evaluate the changes of nursing performance rank of departments evaluated by nursing risk coefficient alone and both nursing risk coefficient and DRG indicators. Results There was positive correlation between nursing risk coefficient and case-mix index (CMI). After CMI was included, positive changes were observed in 20 departments and negative changes in 23 departments. According to the best classification principle of RSR method, 10 departments of total 52 were rated as excellent, 35 as good, and 7 as medium. Whether using nursing risk indicators alone or incorporating CMI for departmental performance ranking, nursing performance rankings of high-risk departments such as intensive care unit (ICU), neurosurgery ICU, heart transplant unit, pediatric intensive care unit (PICU), and hematopoietic stem cell transplantation are consistently at the forefront, aligning with the actual operational results of the hospital. Conclusion Departmental nursing performance rankings with the evaluation and inclusion of CMI better reflect the actual hospital operations and nursing work, quantifying and measuring the severity and complexity of patient conditions. This approach objectively demonstrates the differences in nursing performance among departments. The comprehensive evaluation of nursing performance based on nursing risk assessment and DRG indicators is Objective and scientific and can provide insights for the allocation of departmental nursing performance.

Key words: diagnosis related group, case mix index, nursing risk, nursing performance, Ridit analysis, rank sum ratio method

CLC Number: 

  • R47
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