Yin Li PhD , Linda H. Aiken PhD, FAAN, FRCN , Edmund R. Becker PhD , Omid Razmpour BSN, RN , Patti Landerfelt DNP, MS, APRN , Yu Jin Kang BSN, MPH, PhD , Jeannie P. Cimiotti PhD, RN, FAAN
{"title":"注册护士编制和技能组合对住院时间和住院费用的影响。","authors":"Yin Li PhD , Linda H. Aiken PhD, FAAN, FRCN , Edmund R. Becker PhD , Omid Razmpour BSN, RN , Patti Landerfelt DNP, MS, APRN , Yu Jin Kang BSN, MPH, PhD , Jeannie P. Cimiotti PhD, RN, FAAN","doi":"10.1016/j.outlook.2025.102356","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Sepsis is a common cause of hospitalization among Medicare beneficiaries, often leading to prolonged hospital stays and high costs.</div></div><div><h3>Purpose</h3><div>To estimate the impact of registered nurse (RN) staffing and skill mix on hospital lengths of stay and associated costs for Medicare beneficiaries with sepsis.</div></div><div><h3>Methods</h3><div>A retrospective, cross-sectional analysis was conducted using 2018 data from 2,107 acute care hospitals, including 653,496 patients with sepsis.</div></div><div><h3>Findings</h3><div>A one-unit increase in RN hours per patient day and a 1% increase in RN skill mix reduced hospital stays by 2% and 1%, respectively. Enhancing staffing to nine RN hours per patient day and an 80% RN skill mix could save 63,580 inpatient days annually, reducing costs by $152.9 million. Further increases to 11 RN hours and an 85% skill mix could save $331.9 million.</div></div><div><h3>Discussion</h3><div>Better RN staffing and skill mix can improve patient outcomes and yield significant cost savings.</div></div>","PeriodicalId":54705,"journal":{"name":"Nursing Outlook","volume":"73 2","pages":"Article 102356"},"PeriodicalIF":3.7000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of registered nurse staffing and skill mix on length of stay and hospital costs\",\"authors\":\"Yin Li PhD , Linda H. Aiken PhD, FAAN, FRCN , Edmund R. Becker PhD , Omid Razmpour BSN, RN , Patti Landerfelt DNP, MS, APRN , Yu Jin Kang BSN, MPH, PhD , Jeannie P. Cimiotti PhD, RN, FAAN\",\"doi\":\"10.1016/j.outlook.2025.102356\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Sepsis is a common cause of hospitalization among Medicare beneficiaries, often leading to prolonged hospital stays and high costs.</div></div><div><h3>Purpose</h3><div>To estimate the impact of registered nurse (RN) staffing and skill mix on hospital lengths of stay and associated costs for Medicare beneficiaries with sepsis.</div></div><div><h3>Methods</h3><div>A retrospective, cross-sectional analysis was conducted using 2018 data from 2,107 acute care hospitals, including 653,496 patients with sepsis.</div></div><div><h3>Findings</h3><div>A one-unit increase in RN hours per patient day and a 1% increase in RN skill mix reduced hospital stays by 2% and 1%, respectively. Enhancing staffing to nine RN hours per patient day and an 80% RN skill mix could save 63,580 inpatient days annually, reducing costs by $152.9 million. Further increases to 11 RN hours and an 85% skill mix could save $331.9 million.</div></div><div><h3>Discussion</h3><div>Better RN staffing and skill mix can improve patient outcomes and yield significant cost savings.</div></div>\",\"PeriodicalId\":54705,\"journal\":{\"name\":\"Nursing Outlook\",\"volume\":\"73 2\",\"pages\":\"Article 102356\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nursing Outlook\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0029655425000090\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nursing Outlook","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0029655425000090","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
The effect of registered nurse staffing and skill mix on length of stay and hospital costs
Background
Sepsis is a common cause of hospitalization among Medicare beneficiaries, often leading to prolonged hospital stays and high costs.
Purpose
To estimate the impact of registered nurse (RN) staffing and skill mix on hospital lengths of stay and associated costs for Medicare beneficiaries with sepsis.
Methods
A retrospective, cross-sectional analysis was conducted using 2018 data from 2,107 acute care hospitals, including 653,496 patients with sepsis.
Findings
A one-unit increase in RN hours per patient day and a 1% increase in RN skill mix reduced hospital stays by 2% and 1%, respectively. Enhancing staffing to nine RN hours per patient day and an 80% RN skill mix could save 63,580 inpatient days annually, reducing costs by $152.9 million. Further increases to 11 RN hours and an 85% skill mix could save $331.9 million.
Discussion
Better RN staffing and skill mix can improve patient outcomes and yield significant cost savings.
期刊介绍：
Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
