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Search results for "Nurse Staffing Ratios"
- Nosocomial Infections
- Nurse Staffing Ratios
Journal Article > Review
Mitchell BG, Gardner A, Stone PW, Hall L, Pogorzelska-Maziarz M. Jt Comm J Qual Patient Saf. 2018;44:613-622.
Journal Article > Study
Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.
The critical role that nurses play in ensuring patient safety can be compromised by excess workload. A large body of literature has linked higher patient-to-nurse ratios to a variety of preventable complications and even increased inpatient mortality. However, it is not clear whether high nursing workload alone can impair patient safety, or if overall working conditions for nurses also plays a role in safety. This study, which examined the association between hospital-acquired infections, nurse staffing, and burnout among nurses found that the number of patients per nurse did not entirely predict safety problems. On the other hand, after controlling for hospital and patient characteristics, the investigators found that increased rates of burnout among nurses was significantly associated with a higher risk of hospital-acquired infections. The complex issue of nurse staffing and workload is discussed in this AHRQ WebM&M commentary.
Journal Article > Study
Hugonnet S, Chevrolet JC, Pittet D. Crit Care Med. 2007;35:76-81.
Lower nurse-to-patient ratios on hospital wards have been associated with an increased rate of post-surgical complications and an increased rate of overall complications of inpatient care. This single-center study evaluated the effect of changes in nurse staffing on nosocomial infection rates in the intensive care unit (ICU) and found that a slightly higher number of patients per nurse was associated with a significantly increased infection risk, after controlling for patient risk factors. The authors hypothesize that increased nursing workload may lead to breaches in infection control protocols.
Tools/Toolkit > Fact Sheet/FAQs
Rockville, MD: Agency for Healthcare Research and Quality; Revised December 2009. AHRQ Publication No. 10-M008.
This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety, based on research funded by the Agency for Healthcare Research and Quality. The tips can be grouped into three areas: 1) reducing health care-acquired infections and retained surgical instruments through use of specific clinical practices; 2) improving drug safety by ensuring access to accurate drug information; and 3) improving the culture of safety through appropriate staffing and work hours for nurses and residents. These tips are based on high-quality research studies documenting the effectiveness of these interventions at reducing errors and improving safety for a broad range of patients.