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Comparison of the value of nursing work environments in hospitals across different levels of patient risk
Comparison of the value of nursing work environments in hospitals across different levels of patient risk
KEY FINDINGS: Hospitals with better nurse working environments provide better value (lower mortality with similar costs) especially for higher-risk surgical patients. THE QUESTION. In this study, LDI Senior Fellow Jeffrey Silber and colleagues at the Children's Hospital of Philadelphia and the University of Pennsylvania look at how better nurse working environments influence the "value" of care, which is defined as the quality of care relative to the cost of providing it. Past studies of nurse work environments have looked at their impact on either quality or cost, but not on both. This study asks whether selecting hospitals based solely on excellent nursing environments identifies a set of hospitals that display better outcomes and value, a question most relevant to a patient seeking advice on where to go for care. JAMA Surgery, January 2016, Online First.
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