Hospital use of agency-employed supplemental nurses and patient mortality and failure to rescue.

ABSTRACT:

Objective

To determine the association between the use of agency-employed supplemental registered nurses (SRNs) to staff hospitals and patient mortality and failure to rescue (FTR).

Data sources

Primary survey data from 40,356 registered nurses in 665 hospitals in four states in 2006 were linked with American Hospital Association and inpatient mortality data from state agencies for approximately 1.3 million patients.

Study design

Logistic regression models were used to examine the association between SRN use and 30-day in-hospital mortality and FTR, controlling for patient and hospital characteristics, nurse staffing, the proportion of nurses with bachelor's degrees, and quality of the work environment.

Principal findings

Before controlling for multiple nurse c

SUBMITTER: Aiken LH 

PROVIDER: S-EPMC3651800 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature