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International Journal for Quality in Health Care 15:275-277 (2003)
© 2003 International Society for Quality in Health Care

Editorial

Nurse staffing and patient safety: current knowledge and implications for action

Jack Needleman and Peter Buerhaus

Harvard School of Public Health, Boston, MA USA
Vanderbilt University School of Nursing, Nashville, TN, USA

The first 150 words of the full text of this article appear below.

Over the past year, published research has drawn increased attention to issues of hospital nurse staffing and adverse patient outcomes. Among the published articles that have appeared are those by Aiken et al. [1], Kovner et al. [2], and Needleman et al. [3]. The article by Aiken et al. focused on post-surgical mortality, and received substantial attention because of its conclusion that, controlling for patient and hospital characteristics, the addition of one patient to a registered nurse's workload was associated with a 7% increase in mortality.

Nurse staffing and mortality

Research examining the association between nurse staffing and mortality has reached mixed conclusions. Needleman et al. found an association between nurse staffing levels and ‘failure to rescue’, defined in that study as death among patients who had one of five complications (pneumonia, sepsis, shock or cardiac arrest, upper gastrointestinal bleeding, and deep vein . . . [Full Text of this Article]

Beyond mortality

Efforts to improve nursing-related patient safety


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