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Title

Nurse Staffing and Inpatient Hospital Mortality (The New England Journal of Medicine)

Publication Topics

Access to Health Care; Health Care Delivery System; Managed Care; Safety Net Providers

Publication Type

Journal Article

Publication Date

2011-03-17T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=627&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=627&RootFolder=*">Jack Needleman, PhD</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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Abstract

The strength of the evidence underpinning the association between nurse staffing and patient outcomes has been challenged because studies are typically cross-sectional in design, use hospital-level administrative data that imprecisely allocate staffing to individual patients, and do not account for differences in patients' requirements for nursing care. Other observers have asked whether differences in mortality are linked not to nursing but to unmeasured variables correlated with nurse staffing.

In this study, the authors address these concerns by examining the association between mortality and day-to-day, shift-to-shift variations in staffing at the unit level in a single institution that has lower-than-expected mortality and high average nurse staffing levels and has been recognized for high quality by the Dartmouth Atlas, rankings in U.S. News and World Report, and Magnet hospital designation. In addition, the analysis includes extensive controls for potential sources of an increased risk of death other than nurse staffing.
 

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Journal Article: Nurse Staffing and Inpatient Hospital Mortality

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Press Release

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