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Papers on “nurse staffing ratios patient outcomes mortality”

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  3. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals

    M. McHugh, L. Aiken, D. Sloane, et al. · 2021 · Lancet (London, England) · 307 cites

    Summary Background Substantial evidence indicates that patient outcomes are more favourable in hospitals with better nurse staffing. One policy designed to achieve better staffing is minimum nurse-to-patient ratio mandates, but such policies have rarely been implemented or evaluated. In 2016, Queensland (Australia) implemented minimum nurse-to-patient ratios in selected hospitals. We aimed to assess the effects of this policy on staffing levels and patient outcomes and whether both were associated. Methods For this prospective panel study, we compared Queensland hospitals subject to the ratio policy (27 intervention hospitals) and those that discharged similar patients but were not subject t

  4. The Impact of Nurse–Patient Ratios on Patient Outcomes in Intensive Care Units

    Ashraf Elmdni · 2025 · Nursing in Critical Care · 305 cites

    Intensive care units (ICUs) are complex and fast‐paced environments where nurse‐to‐patient ratios significantly influence patient outcomes. Existing research highlights the relationship between staffing levels and outcomes such as mortality, hospital‐acquired infections, length of ICU stays, patient safety incidents, and nurse job satisfaction.

  5. Nurse Staffing and Patient Outcomes

    Grif Alspach · 2003 · Critical Care Nurse · 102 cites

    This article presents the first analysis of the impact of mandated minimum-staffing ratios on nursing hours of care and skill mix in adult medical and surgical and definitive-observation units in a convenience sample of 68 acute hospitals participating in the California Nursing Outcomes Coalition project. Findings, stratified by unit type and hospital size, reveal expected changes as hospitals made observable efforts toward regulatory compliance. These data cannot affirm compliance with ratios per shift, per unit, at all times; however, they give evidence of overall compliance. Assessment of the impacts of the mandated ratios on two common indicators of patient care quality, the incidence of

  6. Patient outcomes and cost savings associated with hospital safe nurse staffing legislation: an observational study

    K. Lasater, L. Aiken, D. Sloane, et al. · 2021 · BMJ Open · 96 cites

    Objective To evaluate variation in Illinois hospital nurse staffing ratios and to determine whether higher nurse workloads are associated with mortality and length of stay for patients, and cost outcomes for hospitals. Design Cross-sectional analysis of multiple data sources including a 2020 survey of nurses linked to patient outcomes data. Setting: 87 acute care hospitals in Illinois. Participants 210 493 Medicare patients, 65 years and older, who were hospitalised in a study hospital. 1391 registered nurses employed in direct patient care on a medical–surgical unit in a study hospital. Main outcome measures Primary outcomes were 30-day mortality and length of stay. Deaths avoided and cost

  8. Evaluation of Hospital Nurse-to-Patient Staffing Ratios and Sepsis Bundles on Patient Outcomes

    K. Lasater, D. Sloane, M. McHugh, et al. · 2020 · American journal of infection control · 70 cites

    Background. Despite nurses’ responsibilities in recognition and treatment of sepsis, little evidence documents whether patient-to-nurse staffing ratios are associated with clinical outcomes for patients with sepsis. Methods. Using linked data sources from 2017 including MEDPAR patient claims, Hospital Compare, American Hospital Association, and a large survey of nurses, we estimate the effect of hospital patient-to-nurse staffing ratios and adherence to the Early Management Bundle for patients with Severe Sepsis/Septic Shock SEP-1 sepsis bundles on patients’ odds of in-hospital and 60-day mortality, readmission, and length of stay. Logistic regression is used to estimate mortality and readmi

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