Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study
Lancet | 4 Mar 2014
LH Aiken, DM Sloane, L Bruyneel, K Van den Heede, P Griffiths, R Busse, M Diomidous, J Kinnunen, M Kózka, E Lesaffre, MD McHugh, MT Moreno-Casbas, AM Rafferty, R Schwendimann, PA Scott, C Tishelman, T van Achterberg and W Sermeus
Austerity measures and health-system redesign to minimise hospital expenditures risk adversely affecting patient outcomes. The RN4CAST study was designed to inform decision making about nursing, one of the largest components of hospital operating expenses. We aimed to assess whether differences in patient to nurse ratios and nurses' educational qualifications in nine of the 12 RN4CAST countries with similar patient discharge data were associated with variation in hospital mortality after common surgical procedures.
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