Implications of staffing ratios and workload limitations on healthcare-associated infections and the quality of patient care

Critical Care Medicine

Volumn 35, Issue 1, 2007, Pages 296-298

  Assadian, Ojan ^a   Toma, Cyril D ^a   Rowley, Stuart D ^a  

^a Prince Court Medical Centre ^*  (Malaysia)

Author keywords

Clinical culture; Critical care; Healthcare associated infection; Medical error; Patient safety; Staffing; Workload

Indexed keywords

CRITICAL ILLNESS; EDITORIAL; HEALTH CARE; HEALTH CARE QUALITY; HOSPITAL INFECTION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LONG TERM CARE; MEDICAL PRACTICE; MEDICAL STAFF; MORTALITY; NURSE; OUTCOME ASSESSMENT; PATIENT CARE; PNEUMONIA; PRIORITY JOURNAL; URINARY TRACT INFECTION; WORKLOAD;

CRITICAL CARE; CROSS INFECTION; HUMANS; MEDICAL ERRORS; NURSING STAFF, HOSPITAL; PERSONNEL STAFFING AND SCHEDULING; QUALITY OF HEALTH CARE; RESEARCH DESIGN; WORKLOAD;

EID: 33845936303     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000251291.65097.8A     Document Type: Editorial

References (15)

1. Shojania KG, Duncan BW, McDonald KM, et al: Making health care safer: A critical analysis of patient safety practices. Evid Rep Technol Assess (Summ) 2001; 43:1-668
2. Kohn L, Corrigan J, Donaldson M: To Err Is Human: Building a Safer Health System. Washington, DC, Institute of Medicine, 1999
3. Suljagic V, Cobeljic M, Jankovic S, et al: Nosocomial blood stream infections in ICU and non-ICU patients. Am J Infect Control 2005; 33:333-340
4. Hugonnet S, Chevrolet JC, Pittet D: The effect of workload on infection risk in critically ill patients. Crit Care Med 2007; 35:76-81
5. Aiken LH, Sloane DG, Lake ET, et al: Organization and outcomes of inpatient AIDS care. Med Care 1999; 37:760-772
6. Moore K, Lynn MR, McMillen BJ, et al: Implementation of the ANA report card. J Nurs Adm 1999; 29:48-54
7. Pronovost PJ, Jenckes MW, Dorman T, et al: Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA 1999; 281:1310-1317
8. Kovner C, Gergen PJ: Nurse staffing levels and adverse events following surgery in U.S. hospitals. Image J Nurs Sch 1998; 30:315-321
9. Archibald LK, Manning ML, Bell LM, et al: Patient density, nurse-to-patient ratio and nosocomial infection risk in a pediatric intensive care unit. Pediatr Infectious Dis J 1997; 16:1045-1048
10. Aiken LH, Smith HL, Lake ET: Lower Medicare mortality among a set of hospitals known for good nursing care. Med Care 1994; 32:771-787
11. Aiken LH, Clarke SP, Cheung RB, et al: Educational levels of hospital nurses and surgical patient mortality. JAMA 2003; 290:1617-1623
12. Lichtig LK, Knauf RA, Milholland K: Some impacts of nursing on acute care hospital outcomes. J Nurs Adm 1999; 29:25-33
13. Bond CA, Reahl CL, Pitterle ME, et al: Health care professional staffing, hospital characteristics and hospital mortality rates. Pharmacotherapy 1999; 19:130-138
14. Blegen MA, Goode CJ, Reed L: Nurse staffing and patient outcomes. Nurs Res 1998; 47:43-50
15. Rowley SD: The journey of a teaching hospital to become a learning organisation. Aust Health Rev 2006; 30:232-240