Evaluation of hospital nurse-to-patient staffing ratios and sepsis bundles on patient outcomes.

ABSTRACT:

Background

Despite nurses' responsibilities in recognition and treatment of sepsis, little evidence documents whether patient-to-nurse staffing ratios are associated with clinical outcomes for patients with sepsis.

Methods

Using linked data sources from 2017 including MEDPAR patient claims, Hospital Compare, American Hospital Association, and a large survey of nurses, we estimate the effect of hospital patient-to-nurse staffing ratios and adherence to the Early Management Bundle for patients with Severe Sepsis/Septic Shock SEP-1 sepsis bundles on patients' odds of in-hospital and 60-day mortality, readmission, and length of stay. Logistic regression is used to estimate mortality and readmission, while zero-truncated negative binomial models are used for length of stay.

Re

SUBMITTER: Lasater KB 

PROVIDER: S-EPMC8190185 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature