Nurse staffing and outcomes for pulmonary lobectomy: Cost and mortality trade-offs

被引：2

作者：

Ross, Hannah, I ^{[1
]}

Jones, Maureen C. ^{[1
]}

Hendriksen, Brandon S. ^{[2
]}

Hollenbeak, Christopher S. ^{[1
]}

机构：

[1] Penn State Univ, Dept Hlth Policy & Adm, Coll Hlth & Human Dev, University Pk, PA 16802 USA

[2] Penn State Hlth Milton S Hershey Med Ctr, Dept Surg, Hershey, PA USA

来源：

HEART & LUNG | 2021年 / 50卷 / 02期

关键词：

Nurse staffing; Pulmonary lobectomy; Costs; Outcomes; PATIENT OUTCOMES; ASSOCIATION; SURGERY; CARE;

D O I：

10.1016/j.hrtlng.2020.12.001

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Nurse staffing impacts patient outcomes, but little is known about the relationship between nurse staffing and outcomes for lung cancer patients undergoing pulmonary lobectomy. Objectives: To examine the association between nurse staffing and outcomes following lobectomy for lung cancer. Methods: Patients (N = 16,994) with lung cancer between who underwent lobectomy between 2008-2011 were identified in the National Inpatient Sample. Nurse staffing was quantified using registered nurse full-time equivalents per adjusted patient days. Multivariable models were used to estimate the effect of RN FTEs on mortality, length of stay, and costs, controlling for covariates. Results: Patients treated at hospitals using 5.6 or more RN FTEs had shorter hospitals stays by 0.37 days (p = 0.008), had 36% lower odds of mortality (OR = 0.64, p = 0.014), but incurred $4,388 (p < 0.0001) in additional costs. Conclusions: Hospital administrators face a troubling trade-off between costs and outcomes in decisions about nurse staffing mix for pulmonary lobectomy. (C) 2020 Elsevier Inc. All rights reserved.

引用

页码：206 / 212

页数：7

共 50 条

[31] Cost and performance trade-offs for commercially available linear stages
Schwertz, Katie
Burge, J. H.
OPTICAL SYSTEM ALIGNMENT, TOLERANCING, AND VERIFICATION IV, 2010, 7793
[32] MAKING SOCIAL TRADE-OFFS AMONG LIVES, DISABILITIES, AND COST
BORDLEY, RF
JOURNAL OF RISK AND UNCERTAINTY, 1994, 9 (02) : 135 - 149
[33] Hiring policies in an uncertain environment: Cost and productivity trade-offs
Gerchak, Y
Golany, B
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH, 2000, 125 (01) : 195 - 204
[34] Optimizing the trade-offs between cost and performance in Scientific Computing
Nunez, Alberto
Andres, Cesar
Merayo, Mercedes G.
PROCEEDINGS OF THE INTERNATIONAL CONFERENCE ON COMPUTATIONAL SCIENCE, ICCS 2012, 2012, 9 : 498 - 507
[35] Rapid assessment and sample surveys: trade-offs in precision and cost
Macintyre, K
HEALTH POLICY AND PLANNING, 1999, 14 (04) : 363 - 373
[36] The cost of depth: frost avoidance trade-offs in herbaceous plants
Lubbe, Frederick Curtis
Henry, Hugh A. L.
PLANT AND SOIL, 2019, 444 (1-2) : 213 - 224
[37] Optimal trade-offs between housing cost and environmental performance
Karatas, Aslihan (akaratas@ltu.edu), 1600, American Society of Civil Engineers (ASCE), United States (22):
[38] Early analysis of cost/performance trade-offs in MCM systems
Garg, V
Schimmel, DE
Stogner, D
Ulmer, C
Wills, DS
Yalamachili, S
EIGHTH ANNUAL IEEE INTERNATIONAL CONFERENCE ON INNOVATIVE SYSTEMS IN SILICON, 1996 PROCEEDINGS, 1996, : 228 - 237
[39] A framework for analyzing trade-offs in cost and emissions in power sector
Kumar, Pankaj
Banerjee, Rangan
Mishra, Trupti
Energy, 2021, 195
[40] Trade-offs in the allocation of prosecution resources: an opportunity cost of overcriminalization
Kim, Duol
Kim, Iljoong
APPLIED ECONOMICS, 2015, 47 (16) : 1652 - 1669

← 1 2 3 4 5 →