Improved staffing cuts medicare patient readmissions

Improved staffing cuts medicare patient readmissions
Hospital nurses with good work environments who are caring for fewer patients have significantly fewer elderly Medicare patients with heart failure, acute myocardial infarction, and pneumonia who are readmitted to the hospital within the first 30 days, according to research published in the January issue of Medical Care.

(HealthDay)—Hospital nurses with good work environments who are caring for fewer patients have significantly fewer elderly Medicare patients with heart failure, acute myocardial infarction (MI), and pneumonia who are readmitted to the hospital within the first 30 days, according to research published in the January issue of Medical Care.

Matthew D. McHugh, Ph.D., J.D., M.P.H., R.N., and Chenjuan Ma, Ph.D., R.N., of the University of Pennsylvania in Philadelphia, studied the relationship between the work environment, education, and staffing level of hospital nurses and 30-day readmissions for Medicare , acute MI, and pneumonia.

The researchers found that, overall, 23.3 percent of heart failure, 19.1 percent of MI, and 17.8 percent of pneumonia cases in were readmitted to the hospital within 30 days. The risk of readmission for these conditions was between 6 and 9 percent higher for each additional patient assigned to a hospital nurse. Additionally, patients cared for by hospital nurses working in a good work environment had a significantly lower risk of readmission for heart failure (7 percent lower), MI (6 percent lower), and pneumonia (10 percent lower).

"Our results suggest that improving nurses' work environment and reducing nurses' workload are organization-wide reforms that could result in fewer readmissions for with common medical conditions," the authors write. "This is consistent with the evidence showing significant associations between the nurse work environment, staffing, and other patient outcomes."

More information: href="http://journals.lww.com/lww-medicalcare/Abstract/2013/01000/Hospital_Nursing_and_30_Day_Readmissions_Among.11.aspx" target="_new">Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

Suddenly health insurance is not for sale

5 hours ago

(HealthDay)— Darlene Tucker, an independent insurance broker in Scotts Hill, Tenn., says health insurers in her area aren't selling policies year-round anymore.

Study: Half of jailed NYC youths have brain injury (Update)

5 hours ago

About half of all 16- to 18-year-olds coming into New York City's jails say they had a traumatic brain injury before being incarcerated, most caused by assaults, according to a new study that's the latest in a growing body ...

Autonomy and relationships among 'good life' goals

12 hours ago

Young adults with Down syndrome have a strong desire to be self-sufficient by living independently and having a job, according to a study into the meaning of wellbeing among young people affected by the disorder.

User comments