Evaluating the Role of Patient Sample Definitions for Quality Indicators Sensitive to Nurse Staffing Patterns
Medical CarePublished 20 January 2004
Soeren Mattke, Jack Needleman, Peter I. Buerhaus, Maureen T. Stewart, Katya Zelevinsky
Citations24
SJR quartileQ1
SJR score1.57
SNIP1.38
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Less restrictive sample definitions were shown to be feasible and increased the sensitivity of the indicators and thus the power of the analysis, and more conservative definitions appeared appropriate for medical patients.
Abstract
Less restrictive sample definitions were shown to be feasible and increased the sensitivity of the indicators and thus the power of the analysis. Particularly in surgical patients, the samples could be broadened, although more conservative definitions appeared appropriate for medical patients.
Keywords
MedicineHealth ProfessionsEconomics, Econometrics and Finance
Medical CareComorbidity Measures for Use with Administrative Data
9,920 Citations1998Anne Elixhauser, Claudia Steiner +2 more
The present method addresses some of the limitations of previous measures and produces an expanded set of comorbidities that easily is applied without further refinement to administrative data for a wide range of diseases.
New England Journal of MedicineNurse-Staffing Levels and the Quality of Care in Hospitals
2,260 Citations2002Jack Needleman, Peter I. Buerhaus +3 more
Nursing ResearchThe Effects of Nurse Staffing on Adverse Events, Morbidity, Mortality, and Medical Costs
490 Citations2003Sung-Hyun Cho, S Ketefian +2 more
Patients are experiencing adverse events during hospitalization that are associated with a significantly prolonged length of stay and increased medical costs, and care systems to reduce adverse events and their consequences are needed.
Medical CareIdentifying Complications of Care Using Administrative Data
454 Citations1994Lisa I. Iezzoni, Jennifer Daley +6 more
Cases with complications were significantly older and more likely to die, and they had much higher average total charges and lengths of stay than other cases (P < 0.0001), and cases at larger hospitals and teaching facilities generally had higher complication rates.
New England Journal of MedicineHIPAA Regulations — A New Era of Medical-Record Privacy?
402 Citations2003George J. Annas
The new privacy regulations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) become effective April 14, 2003 and will affect virtually every physician, because they apply to any health care provider who conducts any business electronically, including billing.
Medical CareLicensed Nurse Staffing and Adverse Events in Hospitals
235 Citations2003Lynn Unruh
This study suggests that licensed nurses’ patient load began increasing in the 1990s, and adequate licensed nurse staffing is important in minimizing the incidence of adverse events in hospitals.
PubMedUsing administrative data to screen hospitals for high complication rates.
171 Citations1994Lisa I. Iezzoni, Jennifer Daley +6 more
Using 1988 California discharge data to identify hospitals with higher-than-expected rates of complications in six adult, medical-surgical patient populations, relative hospital complication rates generally were correlated across clinical areas, although correlations were lower between medical and surgical case types.
PubMedUsing Medicare claims data to assess provider quality for CABG surgery: does it work well enough?
170 Citations1997Edward L. Hannan, Michael Racz +2 more
If administrative databases are used in outcomes research, much more accurate assessments may be obtained by appending a limited number of clinical data elements to administrative data before assessing outcomes, and Medicare data may be misleading because they do not reflect outcomes for all patients.
International Journal for Quality in Health CareNurse staffing and patient safety: current knowledge and implications for action
98 Citations2003Jack Needleman
Reanalysis of the study generates an estimate of the magnitude of the impact of nurse staffing on failure to rescue similar to that reported by Aiken and colleagues, which did not find an association with overall in-hospital mortality and nurse staffing.
Archives of Internal MedicinePatient and Hospital Characteristics Associated With Recommended Processes of Care for Elderly Patients Hospitalized With Pneumonia
74 Citations2002Jonathan M. Fine, Michael J. Fine +3 more
Minority race, fever, nurse-bed ratio, hospital size and teaching status, and southern location are among the major patient and hospital characteristics associated, either negatively or positively, with the timeliness of performance of initial antibiotic administration and blood culture collection for patients hospitalized with pneumonia.