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| Secondary indicators | Connotation of indicators and evaluation elements | Calculation formula |
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| 1.1 Nurse-patient ratio | The ratio between the number of nursing staff and the number of patients | The sum of the number of patients per shift per day/the sum of the number of charge nurses per shift per day during the statistical cycle |
| 2.1 Accuracy of limb blood circulation assessment | Local or affected limb tissue temperature, skin color, capillary filling response, swelling, and arterial pulsation with correct content, frequency, method, and timing | Number of patients assessed accurately/total number of patients sampled |
| 2.2 Accuracy of neurological function assessment | Sensory, muscle strength, motor, reflex, and autonomic function in the spinal cord, peripheral innervated areas with the correct content, frequency, method, and timing |
| 2.3 Accuracy of pain assessment | Accurate pain assessment tools include pain time, location, degree, nature, duration, resting and active pain, concomitant symptoms, and the impact of pain on daily life, sleep, psychology, and functional activities, pain level after pharmacological analgesia |
| 2.4 Postural care pass rate | Appropriate postural pillows; necessary protective measures; correct and safe postural transfer; patients master the purpose, method, and precautions of functional or therapeutic position and transfer | Number of patients with accurate postural care/total number of patients sampled |
| 2.5 Accuracy of rehabilitation training | Work with the physician to develop an individualized exercise program, include a method, amount, frequency, and time of exercise from preoperative to the post-discharge phase; appropriate assistive devices; patients exercise appropriately and progressively | Number of patients with accurate rehabilitation training/total number of patients sampled |
| 3.1 Incidence of external fixation complications | Include compartment syndrome, instrument-related pressure injury, ineffective traction, skeletal traction displacement, and traction needle crossing infection | Number of patients with external fixation complications/person-days of patients with internal fixation in the statistical cycle |
| 3.2 Incidence of deep vein thrombosis | Diagnosed by color Doppler ultrasound | Number of patients with deep vein thrombosis/number of patient days in the statistical cycle |
| 3.3 Incidence of respiratory obstruction in high-risk patients | High-risk patients: cervical spine injury, advanced age (70 years), infants and children, anterior cervical spine surgery, and patients who underwent a tracheotomy. | Number of high-risk patients with respiratory obstruction/number of patient-days of high-risk patients in the statistical cycle |
| 3.4 Discharge patient satisfaction | Satisfaction with the pain control, discharge notification, and services | Uniform assessment form: the patient satisfaction questionnaire (third-party survey is conducted by hospitals with conditions) |
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