The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis
Andrea Driscoll,Maria J. Grant,Diane L. Carroll,Sally Dalton,Christi Deaton,Ian Jones,Daniela Lehwaldt,Gabrielle McKee,Theresa Munyombwe,Felicity Astin +9 more
TLDR
A meta-analysis involving 175,755 patients admitted to the intensive care unit and/or cardiac/cardiothoracic units showed that a higher nurse staffing level decreased the risk of inhospital mortality by 14% and more studies need to be conducted to offset the paucity and weaknesses of research in this area.Abstract:
Background:Nurses are pivotal in the provision of high quality care in acute hospitals. However, the optimal dosing of the number of nurses caring for patients remains elusive. In light of this, an...read more
Citations
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The impact of nurse staffing levels and nurse's education on patient mortality in medical and surgical wards: an observational multicentre study.
TL;DR: This study confirms the association between higher nurse staffing levels and lower patient mortality controlled for relevant confounders.
Journal ArticleDOI
A quantitative systematic review of the association between nurse skill mix and nursing-sensitive patient outcomes in the acute care setting.
TL;DR: Skill mix is perhaps more important than the number of nurses in reducing adverse patient outcomes such as mortality and failure to rescue, albeit the optimal staffing profile remains elusive in workforce planning.
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The Nursing Activities Score Per Nurse Ratio Is Associated With In-Hospital Mortality, Whereas the Patients Per Nurse Ratio Is Not.
Charlotte C. Margadant,Safira A. Wortel,M.E. Hoogendoorn,Rob J. Bosman,Jan Jaap Spijkstra,S. Brinkman,Nicolette F. de Keizer +6 more
TL;DR: It is concluded that it is more important to focus on the nursing workload that the patients generate rather than on the number of patients the nurse has to take care of in the ICU.
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Weighing the Effects of Vertical Integration Versus Market Concentration on Hospital Quality
Marah Short,Vivian Ho,Vivian Ho +2 more
TL;DR: Analysis of quality measures reported to the Center for Medicare and Medicaid Services’ Hospital Compare database for 2008 to 2015 finds increased market concentration is strongly associated with reduced quality across all 10 patient satisfaction measures.
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Meta-analysis: How to quantify and explain heterogeneity?
TL;DR: Some of the approaches to take as well as avoid when addressing heterogeneity in meta-analyses are discussed, including suggestions for how to choose a fixed-effect or random-effects meta-analysis model and steps to follow to address heterogeneity inMeta-analysis results.
References
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Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement
TL;DR: Moher et al. as mentioned in this paper introduce PRISMA, an update of the QUOROM guidelines for reporting systematic reviews and meta-analyses, which is used in this paper.
Journal Article
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
TL;DR: The QUOROM Statement (QUality Of Reporting Of Meta-analyses) as mentioned in this paper was developed to address the suboptimal reporting of systematic reviews and meta-analysis of randomized controlled trials.
Journal ArticleDOI
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
TL;DR: A structured summary is provided including, as applicable, background, objectives, data sources, study eligibility criteria, participants, interventions, study appraisal and synthesis methods, results, limitations, conclusions and implications of key findings.
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The Quality of Care: How Can It Be Assessed?
TL;DR: Assessing quality depends on whether one assesses only the performance of practitioners or also the contributions of patients and of the health care system, on how broadly health and responsibility for health are defined, and on whether the maximally effective or optimally effective care is sought.
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