Navigation Links
Nurse staffing ratios affect hospital readmissions for children with common conditions
Date:5/7/2013

A new study shows that pediatric nurse staffing ratios are significantly associated with hospital readmission for children with common medical and surgical conditions.

The study, led by a nurse scientist at Cincinnati Children's Hospital Medical Center, is believed to be the first to examine the extent to which hospital nurse staffing levels are related to pediatric readmissions. Publication of the study comes just weeks after the introduction of federal legislation that would mandate nurse staffing ratios across the country.

The study, published online in the journal BMJ Quality and Safety in Health Care, looked at such common medical and surgical conditions as pneumonia and appendectomy.

"Preventing unnecessary hospital readmissions is an increasingly important focus of large-scale quality improvement initiatives," says Heather Tubbs-Cooley, PhD, RN, a nurse scientist at Cincinnati Children's and the study's main author. "Reducing preventable readmissions is also a high priority for hospitals, particularly as they face the prospect of nonpayment for these services."

Dr. Tubbs-Cooley and colleagues from the University of Pennsylvania found that each one patient increase in a hospital's average staffing ratio increased the odds of a medical patient's readmission within 15-30 days by 11 percent. The odds of readmission for surgical patients increased by 48 percent.

Children treated in hospitals meeting a contemporary staffing benchmark of no more than four patients per nurse were significantly less likely to be readmitted within 15-30 days. Nursing staffing ratios had no effect on readmissions within the first 14 days after discharge.

The study team examined the outcomes of more than 90,000 children in 225 hospitals using survey and discharge data from California, Florida, New Jersey and Pennsylvania, as well as the American Hospital Association Annual Survey from these four states. All hospitals included in the study were non-federal, acute-care facilities with at least 50 pediatric discharges a year.

"Lower patient-to-nurse ratios hold promise for reducing preventable readmissions by allowing for more effective pre-discharge monitoring of patient conditions, improving discharge preparation and through enhanced quality improvement success," says Dr. Tubbs-Cooley. "Delivering high quality patient care requires nurses' time and attention, and better staffing conditions likely allow nurses to thoroughly complete the clinical care that children and their families need in order to have a successful discharge."

Despite the study results, she isn't ready just yet to endorse mandated staffing ratios. "We have abundant evidence that better nurse staffing levels in hospitals are associated with better patient outcomes, but we lack robust data to guide decision-making regarding optimal staffing levels for a given unit or patient population. Producing that evidence will require different designs and methods than those we have relied on in the past."

Dr. Tubbs-Cooley plans to test these research designs in further studies.


'/>"/>

Contact: Jim Feuer
jim.feuer@cchmc.org
513-636-4656
Cincinnati Children's Hospital Medical Center
Source:Eurekalert

Related medicine news :

1. Nurse.com Releases New E-Book of Inspirational Stories in Honor of National Nurses Week 2013
2. Contemporary Forums Celebrates National Nurses Week
3. Medical Solutions Celebrates Nurses Week, May 6-12, 2013
4. Western Schools Celebrates Nurses Week
5. Sacred Heart University Waives Application Fees for Online Nursing Programs to Honor National Nurses Week
6. Travel Nursing Jobs Leader, Aureus Medical, Makes Recommendations for a Travel Nurse to Grow Professionally
7. Certified Nurse Midwives from Women's Excellence in Midwifery Now on Staff at Crittenton Hospital Medical Center in Rochester Hills, Michigan
8. Registered Nurses Association gives awards to 2 St. Michaels nursing leaders
9. Meet the Certified Nurse Midwives of Women's Excellence in Midwifery: Tummy to Toddler Expo in Shelby Township, Michigan; March 24, 2013 10am-3pm
10. Nurses provide care comparable to that of doctors for resolving health problems of low complexity
11. Nurses can play key role in reducing deaths from worlds most common diseases
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/7/2016)... ... December 07, 2016 , ... ... financial consultation services to residents in the Sacramento/Folsom region, is initiating a charity ... facility. , The Another Choice Another Chance treatment center in Sacramento works to ...
(Date:12/7/2016)... ... December 07, 2016 , ... A. Kevin Spann Insurance, ... families throughout the Five Boroughs, is launching a charity drive to raise funds that ... the traditions and spirit of marines and Navy FMF Corpsmen. Working closely with the ...
(Date:12/7/2016)... ... December 07, 2016 , ... Facial plastic surgeon, Dr. John D. Rachel ... a portion of proceeds to two local organizations: North Chicago Animal Control and Friends ... is a team of authorized and trained volunteers who support rescued animals held ...
(Date:12/7/2016)... ... December 07, 2016 , ... The medical profession is well aware that heart ... major study analyzing heart attacks among 138,602 people recorded a 35% higher number of ... would all agree of course–no time of year is a good time for a ...
(Date:12/7/2016)... Norwalk, CT (PRWEB) , ... December 07, 2016 ... ... the Integrated Infertility and Wellness (IFW) Program at Reproductive Medicine Associates of Connecticut ... which now has a team of three acupuncturists to help patients realize their ...
Breaking Medicine News(10 mins):
(Date:12/7/2016)... 7, 2016  Ionis Pharmaceuticals, Inc. (NASDAQ: IONS ), ... a company overview at the BMO Capital Markets Prescriptions for Success ... NY . A live webcast of the presentation ... Ionis website.  The replay will be available within 48 hours and ... ...
(Date:12/7/2016)... (NYSE: LCI ) today announced that the company will ... Conference on December 14, 2016 at 9:20 a.m. (ET) at the ... In addition, the company will host one-on-one meetings with ... Boston Healthcare Conference taking place on December 13, 2016 at the ... , , ...
(Date:12/6/2016)... -- Alopexx Oncology, LLC announced data from a Phase I ... composed of interleukin-2 and a CD20-targeting monoclonal antibody. The ... as Rituxan and maintains the activities of both the ... tumor targeting, engagement of the immune system, and induction ... study (abstract #95954) were presented at the 58 th ...
Breaking Medicine Technology: