CHSRF Knowledge Transfer: Nurse Staffing and Patient Safety: Ratios and Beyond

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Chapter 25. Nurse Staffing and Patient Care Quality and Safety

The importance of nurse staffing to the delivery of high-quality patient care was a principal finding in the landmark report of the Institute of Medicine’s (IOM) Committee on the Adequacy of Nurse Staffing in Hospitals and Nursing Homes: “Nursing is a critical factor in determining the quality of care in hospitals and the nature of patient outcomes” (p. 92). Nurse staffing is a crucial health p...

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BACKGROUND Responding to research confirming the link between nurse staffing and patient outcomes, 14 states have introduced legislation to limit patient-to-nurse ratios. However, increased staffing places a considerable financial burden on hospitals. OBJECTIVE We sought to determine the cost-effectiveness of various nurse staffing ratios. RESEARCH DESIGN This was a cost-effectiveness analy...

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Nurse staffing and patient safety: current knowledge and implications for action.

Over the past year, published research has drawn increased attention to issues of hospital nurse staffing and adverse patient outcomes. Among the published articles that have appeared are those by Aiken et al. [1], Kovner et al. [2], and Needleman et al. [3]. The article by Aiken et al. focused on post-surgical mortality, and received substantial attention because of its conclusion that, contro...

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Nurse staffing and patient outcomes.

BACKGROUND Nursing studies have shown that nursing care delivery changes affect staff and organizational outcomes, but the effects on client outcomes have not been studied sufficiently. OBJECTIVE To describe, at the level of the nursing care unit, the relationships among total hours of nursing care, registered nurse (RN) skill mix, and adverse patient outcomes. METHODS The adverse outcomes ...

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How Important Is the Problem? A small percentage of hospitalized patients die during or shortly after their hospitalization. Evidence suggests that some proportion of these deaths could probably have been prevented with more nursing care. For example, in one early study of 232,342 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of the hospital ad...

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ژورنال

عنوان ژورنال: Healthcare Quarterly

سال: 2006

ISSN: 1929-6347

DOI: 10.12927/hcq..18219