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.

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

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

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