Lower mortality for abdominal aortic aneurysm repair in high-volume hospitals is contingent upon nurse staffing.

ABSTRACT:

Objective

To determine whether and to what extent the lower mortality rates for patients undergoing abdominal aortic aneurysm (AAA) repair in high-volume hospitals is explained by better nursing.

Data sources

State hospital discharge data, Multi-State Nursing Care and Patient Safety Survey, and hospital characteristics from the AHA Annual Survey.

Study design

Cross-sectional analysis of linked patient outcomes for individuals undergoing AAA repair in four states.

Data collection

Secondary data sources.

Principal findings

Favorable nursing practice environments and higher hospital volumes of AAA repair are associated with lower mortality and fewer failures-to-rescue in main-effects models. Furthermore, nurse staffing interacts with volume such that there

SUBMITTER: Wiltse Nicely KL 

PROVIDER: S-EPMC3651774 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature