Affiliation: Harvard University
- Nurse-staffing levels and the quality of care in hospitalsJack Needleman
Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
N Engl J Med 346:1715-22. 2002..It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die...
- Nonprofit to for-profit conversions by hospitals, health insurers, and health plansJ Needleman
Harvard School of Public Health, Boston, USA
Public Health Rep 114:108-19. 1999....
- Complication rates on weekends and weekdays in US hospitalsEran Bendavid
Center for Health Policy, Stanford Medical School, Stanford, Calif 94305, USA
Am J Med 120:422-8. 2007..Recent studies and anecdotal evidence suggest that patient safety may be compromised on weekends. Our objective was to determine whether rates of complications in hospitals are higher on weekends than on weekdays...
- Impact of nursing overtime on nurse-sensitive patient outcomes in New York hospitals, 1995-2000Barbara Berney
School of Health Sciences, Hunter College, New York
Policy Polit Nurs Pract 7:87-100. 2006..Because overtime use is episodic and unit specific, further study of these issues using data that examines the occurrence of adverse events by unit during periods of heavy nurse overtime is recommended...
- Is what's good for the patient good for the hospital? Aligning incentives and the business case for nursingJack Needleman
Department of Health Services, University of California, Los Angeles School of Public Health, CA, USA
Policy Polit Nurs Pract 9:80-7. 2008..Current proposals for pay for performance would create limited incentives for improving hospital nursing care...
- Nurse staffing and patient safety: current knowledge and implications for actionJack Needleman
Int J Qual Health Care 15:275-7. 2003
- Nursing burnout and patient safetyChristine Kovner
JAMA 289:550; author reply 550-1. 2003
- Identifying in-hospital venous thromboembolism (VTE): a comparison of claims-based approaches with the Rochester Epidemiology Project VTE cohortCynthia L Leibson
Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester 55905, Minnesota, USA
Med Care 46:127-32. 2008..We estimated sensitivity, specificity, PPV, and negative predictive value (NPV) of claims-based approaches using the Rochester Epidemiology Project (REP) venous thromboembolism (VTE) cohort as a "gold standard."..
- Internal medicine work hours: trends, associations, and implications for the futureLori M Shiotani
UCLA Division of General Internal Medicine and Health Services Research, Los Angeles, Calif 90095, USA
Am J Med 121:80-5. 2008
- Failure-to-rescue: comparing definitions to measure quality of careJack Needleman
Med Care 45:913-5. 2007
- The association between nursing factors and patient mortality in the Veterans Health Administration: the view from the nursing unit levelAnne Sales
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
Med Care 46:938-45. 2008..Nursing care is delivered in geographically-based units, with wide variation in staffing levels. In particular, staffing in intensive care is much richer than in nonintensive care acute units...
- Spreading nursing unit innovation in large hospital systemsMarjorie L Pearson
THE RAND CORPORATION, Santa Monica, California 90401, USA
J Nurs Adm 38:146-52. 2008..Although clear differences were evident in the way they engineered their spread, many similarities also were found...
- Performance measurement of nursing care: state of the science and the current consensusJack Needleman
UCLA School of Public Health, Los Angeles, CA, USA
Med Care Res Rev 64:10S-43S. 2007..Each of these tasks requires substantial development work and construction and maintenance of the infrastructure to sustain the performance measurement efforts...
- The effect of changes in hospital reimbursement on nurse staffing decisions at safety net and nonsafety net hospitalsRichard C Lindrooth
Department of Health Administration and Policy, Medical University of South Carolina, 151 Rutledge Ave, Building B, P.O. Box 250961, Charleston, SC 29425, USA
Health Serv Res 41:701-20. 2006..In contrast, safety net hospitals did not respond to the provisions of the BBA by reducing staffing ratios. This conclusion is tempered by the fact that we have few safety net hospitals in the sample...
- Trends in nurse overtime, 1995-2002Barbara Berney
School of Health Sciences, Hunter College, New York, USA
Policy Polit Nurs Pract 6:183-90. 2005....
- Nurse staffing in hospitals: is there a business case for quality?Jack Needleman
Department of Health Services, School of Public Health, University of California, Los Angeles, CA, USA
Health Aff (Millwood) 25:204-11. 2006..5 percent or less at the staffing levels modeled. Whether or not staffing should be increased depends on the value patients and payers assign to avoided deaths and complications...
- Factors influencing the use of registered nurse overtime in hospitals, 1995-2000Barbara Berney
Hunter College, New York, NY, USA
J Nurs Scholarsh 37:165-72. 2005..To assess nurse overtime in acute care general hospitals and the factors that influence overtime among various hospitals and in the same hospitals from year to year...
- Evaluating the role of patient sample definitions for quality indicators sensitive to nurse staffing patternsSoeren Mattke
Harvard School of Public Health, Boston, Massachusetts, USA
Med Care 42:II21-33. 2004..This study evaluates whether broader sample definitions combined with risk adjustment would allow for larger samples and increase analytic power...
- Measuring hospital quality: can medicare data substitute for all-payer data?Jack Needleman
Department of Health Services, UCLA School of Public Health, 90095 1772, USA
Health Serv Res 38:1487-508. 2003..To assess whether adverse outcomes in Medicare patients can be used as a surrogate for measures from all patients in quality-of-care research using administrative datasets...
- Strengthening hospital nursingPeter I Buerhaus
Vanderbilt University School of Nursing, Nashville, Tennessee, USA
Health Aff (Millwood) 21:123-32. 2002..These findings have policy implications for strengthening the nursing profession, monitoring the quality of hospital care associated with nursing, and improving the relationship between hospitals and the nursing profession...
- The relationship between the volume and type of transforming care at the bedside innovations and changes in nurse vitalityValda V Upenieks
School of Nursing, Nursing Administration Graduate Program, University of California Los Angeles, Los Angeles, CA 90095 6917, USA
J Nurs Adm 38:386-94. 2008..The findings of this evaluation yielded several important implications for nurse leaders...