Staffing Matters-Every Shift

被引:4
作者
West, Gordon [1 ]
Patrician, Patricia A. [2 ]
Loan, Lori [3 ]
机构
[1] Uniformed Serv Univ Hlth Sci, Grad Sch Nursing, Bethesda, MD 20814 USA
[2] Univ Alabama Birmingham, Dept Community Hlth Outcomes & Syst, Sch Nursing, Birmingham, AL USA
[3] Madigan Healthcare Syst, Ctr Nursing Sci, Tacoma, WA USA
关键词
adverse events; care quality; nurse staffing; patient safety; PATIENT; QUALITY; CARE; ASSOCIATION; MORTALITY; OUTCOMES;
D O I
10.1097/01.NAJ.0000423501.15523.51
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Data from the Military Nursing Outcomes Database (MilNOD) project demonstrate that inadequately staffed shifts can increase the likelihood of adverse events, such as falls with injury, medication errors, and needlestick injuries to nurses. Such evidence can be used to show that it takes not only the right number of nursing staff on every shift to ensure safe patient care, but also the right mix of expertise and experience. Based on findings from the MilNOD project, the authors present realistic scenarios of common dilemmas hospitals face in nurse staffing, illustrating the potential hazards for patients and nurses alike.
引用
收藏
页码:22 / 27
页数:6
相关论文
共 23 条
  • [1] AIKEN LH, 2002, JAMA-J AM MED ASSOC, V288, P1987, DOI [DOI 10.1001/JAMA.288.16.1987, 10.1001/jama.288.16.1987]
  • [2] [Anonymous], NAT HEALTHC QUAL REP
  • [3] [Anonymous], 2011, FUT NURS LEAD CHANG
  • [4] Clarke SP, 2008, PATIENT SAFETY QUALI
  • [5] Making sense of odds and odds ratios
    Grimes, David A.
    Schulz, Kenneth F.
    [J]. OBSTETRICS AND GYNECOLOGY, 2008, 111 (02) : 423 - 426
  • [6] HOSPITAL CHARACTERISTICS AND MORTALITY-RATES
    HARTZ, AJ
    KRAKAUER, H
    KUHN, EM
    YOUNG, M
    JACOBSEN, SJ
    GAY, G
    MUENZ, L
    KATZOFF, M
    BAILEY, RC
    RIMM, AA
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (25) : 1720 - 1725
  • [7] The association of registered nurse staffing levels and patient outcomes - Systematic review and meta-analysis
    Kane, Robert L.
    Shamliyan, Tatyana A.
    Mueller, Christine
    Duval, Sue
    Wilt, Timothy J.
    [J]. MEDICAL CARE, 2007, 45 (12) : 1195 - 1204
  • [8] Kohn LT, 2000, ERR IS HUMAN BUILDIN
  • [9] Kovner C, 2002, HEALTH SERV RES, V37, P611
  • [10] Are patient falls and pressure ulcers sensitive to nurse staffing?
    Lake, Eileen T.
    Cheung, Robyn B.
    [J]. WESTERN JOURNAL OF NURSING RESEARCH, 2006, 28 (06) : 654 - 677