High patient turnover (patient throughput generated by admissions, discharges, and transfers) contributes to increased demands and resources for care. We examined how the relationship between registered nurse (RN) staffing and failure-to-rescue (FTR) varied with patient turnover levels by analyzing quarterly data from the University HealthSystem Consortium. The data included 42 hospitals, repre...

Visual cues help to improve the turnover process Third of 3 articles on applying Lean management to turnover time. C reating a " visual workplace " is a principle in Lean management. Visual cues have been one solution for improving turnover time at Thomas Jefferson University Hospital in Philadelphia. In a visual workplace, the goal is to make waste, problems, and abnormal conditions readily ap...

BACKGROUND Amid a national nurse shortage, there is growing concern that high levels of nurse burnout could adversely affect patient outcomes. OBJECTIVES This study examines the effect of the nurse work environment on nurse burnout, and the effects of the nurse work environment and nurse burnout on patients' satisfaction with their nursing care. RESEARCH DESIGN/SUBJECTS: We conducted cross-se...

PURPOSE We examined the effects of facility and market-level characteristics on staffing levels and turnover rates for direct care staff, and we examined the effect of staff turnover on staffing levels. DESIGN AND METHODS We analyzed cross-sectional data from 1,014 Texas nursing homes. Data were from the 2002 Texas Nursing Facility Medicaid Cost Report and the Area Resource File for 2003. Aft...

the aim of present study was to determine the impact of two different icu management model, open and semi closed, on resources utilization in intensive care unit.retrospective cohort analysis using data from hospital database was applied to compare the effect of icu management model on icu length of stay and bed disposition of 1064 patients admitted to the general icu of imam khomeini hospital ...

AIM This analysis compares the staffing implications of three measures of nurse staffing requirements: midnight census, turnover adjustment based on length of stay, and volume of admissions, discharges and transfers. BACKGROUND Midnight census is commonly used to determine registered nurse staffing. Unit-level workload increases with patient churn, the movement of patients in and out of the n...

The future of professional nursing is threatened today by the current and impending shortage of nurses. While the entire health care industry is affected, it is even more predominant in specialty areas such as urologic nursing. If unresolved, the crisis will be even more significant in the future. According to the American Association of Colleges of Nursing (AACN, 2001), entrylevel baccalaureat...

Israel has a low density of professional nurses. New evidence suggests less than optimal hospital work environments may undermine efficient and effective delivery of nursing care and contribute to job dissatisfaction and nurse turnover among nurses who are in short supply. Potential approaches to address these challenges are discussed.