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

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