“…For example, ‘rising patient acuity’ has been cited often throughout the past three decades (Cobb & Cooley 1988, Belcher & Munjas 1990, Angeles & Barbone 1994, Bezyack 1999, Aiken et al. 2001, Abbott 2002, Alexander et al. 2003, Aylott 2007, Chetney 2008).…”