Key result
Each additional patient per nurse was associated with higher odds of 30-day readmission for heart failure (OR 1.07; 95% CI 1.05-1.09), pneumonia (OR 1.06), and myocardial infarction (OR 1.09).
Why the study?
Do better hospital nursing environments and staffing levels reduce 30-day readmissions in Medicare patients with heart failure, acute myocardial infarction, and pneumonia?
Observational
Yes
Do better hospital nursing environments and staffing levels reduce 30-day readmissions in Medicare patients with heart failure, acute myocardial infarction, and pneumonia?
Effect estimate: OR 1.07 (95% CI 1.05-1.09)
Better nurse work environments and lower patient-to-nurse ratios are associated with significantly lower 30-day readmission rates for Medicare patients with heart failure, myocardial infarction, and pneumonia.
Authors
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Higher patient-to-nurse ratios were associated with increased readmission odds; leaves open whether staffing improvements reduce them.
McHugh et al. (2012) conducted an observational in Heart failure, acute myocardial infarction, and pneumonia. Nurse staffing levels and work environment was evaluated on 30-day readmission for heart failure per additional patient per nurse (OR 1.07, 95% CI 1.05-1.09). Each additional patient per nurse was associated with higher odds of 30-day readmission for heart failure (OR 1.07; 95% CI 1.05-1.09), pneumonia (OR 1.06), and myocardial infarction (OR 1.09).
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