Demanding safe staffing levels to ensure quality nursing care

ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy

Objective: To determine if having a night-time nurse-to-patient ratio (NNPR) of one nurse caring for one or two patients (> 1:2) versus one nurse caring for three or more patients (< 1:2) in the intensive care unit (ICU) is associated with clinical and economic outcomes following esophageal resection. Design: State-wide observational cohort study. Hospital discharge data was linked to a prospective survey of ICU or- ganizational characteristics. Multi- variate analysis adjusting for case- mix, hospital and surgeon volume was used to determine the association of NNPR with in-hospital mortality, length of stay (LOS), hospital cost and specific postoperative complications.

Download PDF

Journal: Intensive Care Med (2000) 26: 1857-1862

Authors: Ravi K. Amaravad,i Justin B. Dimick, Peter J. Pronovost, Pamela A. Lipsett

Download PDF


About safe staffing

The Safe Staffing Alliance has brought together some of the vast body of evidence that staffing levels are linked to quality.

Find out more

Read our response to NICE



If you would like to be kept informed of what's happening please leave your email details here.

Register now

About the Alliance

Alliance panel

The Alliance is made up of nurse leaders who came together as part of the Nursing Standard / Patients Association Care campaign.

Find out about our organisation and the arguments for safe staffing levels.

Find out more

Contact us

We would like to hear what's going on in your area so we have an up-to-date picture of the staffing situation nationally.

Get in touch