The Effect of Staff Nursing on Length of Stay and Mortality

Czaplinski, Cindy; Diers, Donna

doi:10.1097/00005650-199812000-00002

Cited by 59 publications

(26 citation statements)

References 29 publications

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“…5,14 Also, fewer supervisors are present in the hospital on weekends. 14 In addition, the level of physician coverage for patients also differs on weekends in most hospital settings, and the weekend physician staff frequently provide coverage for other health professionals and thus may be less familiar with the patients under their care. 15,16 These differences in hospital …”

Section: Discussionmentioning

confidence: 99%

Day of Admission and Clinical Outcomes for Patients Hospitalized for Heart Failure

Fonarow

Abraham

Albert

et al. 2008

Circ: Heart Failure

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Background-Differences in hospital staffing may influence outcomes for patients with acute conditions, including heart failure (HF), depending on which day of the week the patients are admitted. This study examined the relationship between the day of the week patients are hospitalized for HF and death rate, length of stay (LOS), and rehospitalization rate. Methods and Results-A total of 259 US hospitals participating in the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients With Heart Failure (OPTIMIZE-HF) submitted data on 48 612 patients with HF. Sixty-to 90-day postdischarge follow-up data were collected prospectively in a prespecified 10% sample. We analyzed day of admission and discharge, demographic, medical history, medication use, laboratory, and in-hospital procedure data for their association with hospital LOS and death rate. Patient characteristics were similar for weekday and weekend presentation. LOS was a median of 4.0 days and a mean of 5.7Ϯ5.7 days; in-hospital death rate was 3.8%. In-hospital and postdischarge risk of death were similar for each day of the week in the hospital and follow-up cohorts, respectively. LOS, however, was significantly influenced by day of admission, even after adjustment for other LOS risk factors. The shortest LOS by admission day of the week was Tuesday (5.39 days), and the longest was Friday (5.88 days; PϽ0.001). Conclusions-No differences in death rate by day of admission or discharge for HF hospitalizations were evident.Hospitalizations for HF on Thursday and Friday were associated with prolonged LOS. Understanding the factors responsible for the increased LOS and potential adjustments in staffing to facilitate weekend discharges may improve the efficiency of HF hospital care. (Circ Heart Fail. 2008;1:50-57.)

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Section: Discussionmentioning

confidence: 99%

Day of Admission and Clinical Outcomes for Patients Hospitalized for Heart Failure

Fonarow

Abraham

Albert

et al. 2008

Circ: Heart Failure

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“…higher number of DRGs by nursing unit) has been associated with longer LOS (Diers & Potter, 1997;). Number of "off-service" patients (Czaplinski & Diers, 1998) has been associated with more mortality and longer LOS. Patient age and complexity of patients (e.g.…”

Section: Literature Reviewmentioning

confidence: 99%

Nursing staffing, nursing workload, the work environment and patient outcomes

Duffield

Diers

O’Brien‐Pallas

et al. 2011

Applied Nursing Research

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418

392

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“…Bed Utilization 11 Czaplinski and Diers (1998) examined the displaced patient issue from a different perspective. This study examined the length of stay and mortality rates for 16 different diagnosis related groups.…”

Section: A Study Conducted At Ben Taub Highlights Its Inpatient Bedmentioning

confidence: 99%

Hospital Bed Utilization: Increasing Throughout

Larsen¹

2003

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Public reporting burden for this collection of information is estimated to average 1 fiour per response, Including the time for reviewing instnjctions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of infomiation. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES)Ben Taub General Hospital Houston Texas PERFORMING ORGANIZATION REPORT SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES)US Army SPONSOR/MONITOR'S ACRONYM(S) DISTRIBUTION /AVAILABILITY STATEMENTApproved for public release; distribution is unlimited SPONSOR/MONITOR'S REPORT NUMBER(S)34-04 Bed Utilization Running head: Bed Utilization

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The Effect of Staff Nursing on Length of Stay and Mortality

Cited by 59 publications

References 29 publications

Day of Admission and Clinical Outcomes for Patients Hospitalized for Heart Failure

Day of Admission and Clinical Outcomes for Patients Hospitalized for Heart Failure

Nursing staffing, nursing workload, the work environment and patient outcomes

Hospital Bed Utilization: Increasing Throughout

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