work environment

Organization of hospital nursing and 30-day readmissions in Medicare patients undergoing surgery

Background: Growing scrutiny of readmissions has placed hospitals at the center of readmission prevention. Little is known, however, about hospital nursing - a critical organizational component of hospital service system - in relation to readmissions.

Objectives: To determine the relationships between hospital nursing factors - nurse work environment, nurse staffing, and nurse education - and 30-day readmissions among Medicare patients undergoing general, orthopedic, and vascular surgery.

Evaluation of OR Staffing Measures and Post-Operative Patient Outcomes

The purpose of this cross-sectional cohort study was to evaluate the relationship between the number of OR personnel involved in a surgery and subsequent postoperative outcomes. We collected data from a sample of general surgery patients (N = 911) by using the American College of Surgeons National Surgical Quality Improvement Project processes. Data obtained from electronic medical records about the number of different personnel involved in the surgeries were used to create total OR staffing and nurse staffing variables for each surgery.

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