Prior to informatic applications, the main problem regarding acuity systems was which of the following?
a. Too much nursing time was required to collect data.
b. They were not done every day by all shifts; therefore, they were not accurate.
c. They could not predict with accuracy the length of stay.
d. Nurses were manipulating the data in an effort to inflate staffing needs.
D
Paper and pencil acuity systems done by nurses had a propensity for "acuity creep," in which nurses misrepresented patient needs by padding responses to increase the staffing. Although it did take a great deal of time to collect and score the data, this was not the main problem. Acuity systems never predicted the length of stay.
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