Nurse staffing effects on patient outcomes: safety-net and non-safety-net hospitals (original) (raw)

Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units. To determine the relationship between nurse staffing in general and intensive care units and patient outcomes and determine whether safety net status affects this relationship. A cross-sectional design used data from hospitals belonging to the University HealthSystem Consortium. Data were available for approximately 1.1 million adult patient discharges and staffing for 872 patient care units from 54 hospitals. Total hours of nursing care [Registered Nurses (RNs), Licensed Practical Nurses, and assistants] determined per inpatient day (TotHPD) and RN skill mix were the measures of staffing; Agency for Healthcare Research and Quality risk-adjusted safety and quality indicators were the outcome measures. TotHPD in general units was associated with lower rates of congestive hea...