Bakitas named MHRC Barkley Excellence in Mentoring Award winner
Bowen receives grant for health policy research
Post-doc receives five-year, $935,000 K-99/R00 from NINR
Post-Doc Deborah Ejem explores link between spirituality, health care
PhD students Bahorski, Soistmann receive Ireland Research Travel Award
Improving the health of older African American men in the Deep South

The association of shift-level nurse staffing with adverse patient events.

Patrician PA, Loan L, McCarthy M, Fridman M, Donaldson N, Bingham M, Brosch LR.

School of Nursing, University of Alabama at Birmingham, Birmingham, AL USA. ppatrici@uab.edu

Abstract

OBJECTIVE:

The objective of this study was to demonstrate the association between nurse staffing and adverse events at the shift level.

BACKGROUND:

Despite a growing body of research linking nurse staffing and patient outcomes, the relationship of staffing to patient falls and medication errors remains equivocal, possibly due to dependence on aggregated data.

METHODS:

Thirteen military hospitals participated in creating a longitudinal nursing outcomes database to monitor nurse staffing, patient falls and medication errors, and other outcomes. Unit types were analyzed separately to stratify patient and nurse staffing characteristics. Bayesian hierarchical logistic regression modeling was used to examine associations between staffing and adverse events.

RESULTS:

RN skill mix, total nursing care hours, and experience, measured by a proxy variable, were associated with shift-level adverse events.

CONCLUSIONS:

Consideration must be given to nurse staffing and experience levels on every shift.

 

Link to PubMed