Navigation Links
When Nurse Staffing Drops, Mortality Rates Rise: Study

By Amanda Gardner
HealthDay Reporter

WEDNESDAY, March 16 (HealthDay News) -- When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

Previous research has suggested that this might be the case, but many of those studies were dismissed in part because of methodology flaws.

"People had thought maybe [adverse consequences] were due to something else, maybe the quality of the nurses, quality of the doctors, technology, equipment or the hospital doesn't have a commitment to quality," Needleman explained.

For this study, the authors looked at almost 200,000 admissions and about 177,000 nursing shifts at 43 patient units at one hospital that generally had high staffing targets.

Presumably, different areas of the hospital had the same quality of nurses, doctors, technology and equipment, thus eliminating these factors as the source of problems.

Units were considered properly staffed if nursing staffing fell within eight hours of the target level.

When units were understaffed, patient mortality increased by 2 percent. On average, a patient stayed in the hospital for three shifts and when they were all understaffed, mortality rose by 6 percent.

And when nurses had to work harder because of high patient turnover on their unit, the mortality risk increased by 4 percent.

"A telling outcome is that they looked at a hospital that really had pretty good staffing levels and they still found that there was a difference," said Sharon Wilkerson, dean of the Texas A&M Health Science Center College of Nursing in Bryan. "When I think about the number of hospitals that do not maintain good staffing levels, either because they can't find the nurses or maybe they're rural or they're just aren't as many people they can hire, that's even more frightening."

The authors believe the findings would apply at the very least to other similar hospitals.

"All hospitals need to have a system to identify what their target nurse staffing is, based on their patient needs, and this will vary from day to day," Needleman said.

Hospitals also need to find ways to manage surges, when more admissions and transfers send more patients to a particular unit, said Needleman, who believes these changes are possible.

"Obviously, we need to figure out how to do this better," Wilkerson said. "If the workloads and the turnover of patients are causing problems in terms of negative outcomes for patients, then we need to do a better job of handling that."

More information

The U.S. Agency for Healthcare Research and Quality offers patients five steps to safer health care.

SOURCES: Jack Needleman, Ph.D., professor, health services, UCLA School of Public Health, Los Angeles; Sharon Wilkerson, Ph.D., R.N., dean, Texas A&M Health Science Center College of Nursing, Bryan; March 17, 2011, New England Journal of Medicine

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Future surgeons may use robotic nurse, gesture recognition
2. More doctors must join nurses, administrators in leading efforts to improve patient safety, outcomes
3. Support not punishment is the key to tackling substance abuse and addiction among nurses
4. Nurses Long Shifts May Put Hospital Patients at Risk: Study
5. Northwestern Memorial maintains top status in nursing hospital renewed for Nurse Magnet®
6. Lupus patients: The doctor, nurse and social worker are here to see you
7. Scripps Clinic nurse to receive 2010 ASTRO Nurse Excellence Award
8. Few nurse practitioners, physician assistants pursue careers in pediatric health
9. Overseas nurses feel their skills are underused and they arent valued or respected
10. University of Miami receives grant to increase the number of family nurse practitioners
11. European Nurse Society calls to action on breakthrough cancer pain
Post Your Comments:
Related Image:
When Nurse Staffing Drops, Mortality Rates Rise: Study
(Date:11/27/2015)... ... ... Lizzie’s Lice Pickers just announced a special promotion that will run throughout ... of lice treatment product. In addition, customers will receive a complimentary head Check when ... is a sure way to ruin the holidays, so we encourage all of our ...
(Date:11/27/2015)... ... ... No.1 Herpes-only dating community in the world, revealed that over 50% of its members are ... people under the age of 50 – or 67% of the population - are infected ... HSV-1 infection . , "The data shocks us highly!" said Michelle Li, Co-Founder of ...
(Date:11/27/2015)... ... , ... A simply groundbreaking television series, "Voices in America", which is hosted ... array of issues that are presently affecting Americans. Dedicated to providing the world with ... changing the subjects consumers focus on, one episode at a time. , In ...
(Date:11/27/2015)... Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... Commission on Accreditation of Allied Health Education Programs (CAAHEP) awarded accreditation to its Diagnostic ... list of CAAHEP accredited colleges, as only one of twelve colleges and universities in ...
(Date:11/27/2015)... ... ... Avid collector, Andrew Hawley from Vintage Rock Posters, announces his search for ... of Joplin's most famous and beautiful concert posters. The concert was held on March ... The According to Hawley, "It is hard to believe that Joplin's stardom was only ...
Breaking Medicine News(10 mins):
(Date:11/27/2015)... , Nov. 26, 2015 ... the addition of the "2016 Global ... Test, Country Volume and Sales Segment Forecasts, ... Opportunities" report to their offering. ... addition of the "2016 Global Tumor ...
(Date:11/26/2015)... , November 26, 2015 ... new combination approach blends immunotherapy with Bremachlorin-photodynamic therapy for ... combination approach blends immunotherapy with Bremachlorin-photodynamic therapy for advanced ... combination approach blends immunotherapy with Bremachlorin-photodynamic therapy for advanced ... has found that immunotherapy can be efficiently combined ...
(Date:11/26/2015)... 2015 3D bioprinting market is ... a new report by Grand View Research Inc. Rising prevalence ... demands kidney transplantation is expected to boost the market growth, ... organ transplantation. --> 3D bioprinting market is ... a new report by Grand View Research Inc. Rising prevalence ...
Breaking Medicine Technology: