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September 4, 1954

Improvement of Patient Care: A Study at Harper Hospital

JAMA. 1954;156(1):91. doi:10.1001/jama.1954.02950010093030

This volume presents a comprehensive study of patient care based on the view that each member of the hospital staff plays an important part in the hospitalization program. Careful studies were thus made in selected areas to determine the extent of hospital needs and the methods that might best be employed to increase the efficiency of hospital operation. Patients were interviewed, as well as members of the medical staff, nurses, and other professional and nonprofessional personnel. Data were likewise obtained with reference to types of patients admitted, degree of illness, average length of stay, occupancy rates, admission and discharge procedures, physicians' orders, number of treatments and medications, and other items. After basic data had been collected on the amount and kind of care required, the principles of industrial engineering were applied with work samplings in many areas to establish time schedules, new patterns of staffing, and more efficient procedures wherever

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