Hospital Mortality Linked to Staffing Levels, Patient Turnover

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Patient mortality has been linked to hospital shifts with low nurse staffing levels and high patient turnover, according to a new study in the New England Journal of Medicine.

Researchers at University of California-Los Angeles estimated the risk of death increased by 2 percent for each shift below a selected staffing target and 4 percent for each shift with high patient turnover. Patient turnover is thought to divert nurses’ time and attention from other matters.

The study, using data from 2003-2006 at an unnamed academic medical center, identified shifts with staffing that was eight hours or more below an adjusted target.

To improve mortality, researchers suggested rewarding hospitals for ensuring adequate staffing and for paying close attention to patient transfers and other factors that increase staff’s workload.

Read the New England Journal of Medicine abstract on nurse staffing.

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