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Shrink Readmissions by Adding Nurses



Bumping up nurse staffing levels by three nurse hours per patient day provides a demonstrable and marked reduction in hospital readmissions. But the financial implications of doing so are tricky.



1 comments on "Shrink Readmissions by Adding Nurses"
Phyllis Kritek (10/14/2013 at 3:37 PM)

Thank you for covering this studies methodology, analysis and outcomes. I would observe that Aiken, et al demonstrated that the average cut in nursing personnel in acute care in the 90s was 9%. We concurrently cut LOS dramatically, so we had far fewer nurses caring for far more seriously ill patients. Not surprisingly, the IOM announced we had serious drug errors (To Err is Human) and that apparently patient safety was related to nursing care (Keeping Patients Safe).During longer LOSs nurses were able to do continuity of care, patient education, family education and case management. We eliminated it. We discovered this was a bad idea. Now we are trying to reinvent the wheel. The answer to this issue was available in the 90s however the apparent invisibility of nursing care created this problem. This study is best understood as a part of the history of health care in the US.