Document Detail


Cost savings associated with increased RN staffing in acute care hospitals: simulation exercise.
MedLine Citation:
PMID:  19927445     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Increasing nurse-to-patient staffing has been recommended as a means to improve patient safety. In this study, researchers analyzed the savings-cost ratio of increased RN-to-patient ratios for patients in ICUs and patients in surgical and medical units based on a meta-analysis of published observational studies. Increased RN staffing was associated with lower hospital-related mortality and adverse patient events and generates societal net savings from avoided patient adverse events. This finding appears to hold in ICUs and, to some extent, in surgical units, but not in medical units. Hospitals do not experience sufficient monetary benefit from reduced length of stay corresponding to an increased RN staffing. Policy decisions about RN staffing should include cost-utility analyses.
Authors:
Tatyana A Shamliyan; Robert L Kane; Christine Mueller; Sue Duval; Timothy J Wilt
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Nursing economic$     Volume:  27     ISSN:  0746-1739     ISO Abbreviation:  Nurs Econ     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-11-20     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8404213     Medline TA:  Nurs Econ     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-14, 331     Citation Subset:  N    
Affiliation:
Minnesota Evidence-Based Practice Center, Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN, USA.
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MeSH Terms
Descriptor/Qualifier:
Cost Savings*
Nursing Staff, Hospital*
Grant Support
ID/Acronym/Agency:
290-02-0009//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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