personnel staffing and scheduling
Summary: The selection, appointing, and scheduling of personnel.
Publications317 found, 100 shown here
- Mortality among patients admitted to hospitals on weekends as compared with weekdaysC M Bell
Department of Medicine, University of Toronto, Sunnybrook and Women's College Health Sciences Centre, ON, Canada
N Engl J Med 345:663-8. 2001..CONCLUSIONS: Patients with some serious medical conditions are more likely to die in the hospital if they are admitted on a weekend than if they are admitted on a weekday...
- Effects of weekend admission and hospital teaching status on in-hospital mortalityPeter Cram
Division of General Internal Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242, USA
Am J Med 117:151-7. 2004..We compared mortality rates between patients admitted on weekends and weekdays and whether weekend-weekday variation in rates differed between patients admitted to teaching and nonteaching hospitals in California...
- Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfactionLinda H Aiken
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, 420 Guardian Dr, Philadelphia, PA 19104 6096, USA
JAMA 288:1987-93. 2002....
- Effect of reducing interns' work hours on serious medical errors in intensive care unitsChristopher P Landrigan
Division of Sleep Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 351:1838-48. 2004..Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors...
- The association of registered nurse staffing levels and patient outcomes: systematic review and meta-analysisRobert L Kane
University of Minnesota School of Public Health, Minneapolis, Minnesota 55455, USA
Med Care 45:1195-204. 2007..To examine the association between registered nurse (RN) staffing and patient outcomes in acute care hospitals...
- Extended work shifts and the risk of motor vehicle crashes among internsLaura K Barger
Division of Sleep Medicine, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
N Engl J Med 352:125-34. 2005..Long work hours and work shifts of an extended duration (> or =24 hours) remain a hallmark of medical education in the United States. Yet their effect on health and safety has not been evaluated with the use of validated measures...
- Effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environmentsLinda H Aiken
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, PA 19104 4217, USA
Med Care 49:1047-53. 2011..Little is known about whether and under what conditions each type of investment works better to improve outcomes...
- 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...
- Role stress and career satisfaction among registered nurses by work shift patternsAmy J Hoffman
Kirkhof School of Nursing, Grand Valley State University, Grand Rapids, Mich 49301, USA
J Nurs Adm 33:337-42. 2003..This study examined the variation in role stress and career satisfaction among hospital-based registered nurses (RNs) by shift length...
- Effect of the ACGME duty hours restrictions on surgical residents and faculty: a systematic reviewMohammad H Jamal
General Surgery, Department of Surgery and Centre for Medical Education, Faculty of Medicine, McGill University, Montreal, Quebec, Canada
Acad Med 86:34-42. 2011....
- Hospital nursing and 30-day readmissions among Medicare patients with heart failure, acute myocardial infarction, and pneumoniaMatthew D McHugh
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104 4217, USA
Med Care 51:52-9. 2013..Provisions of the Affordable Care Act that increase hospitals' financial accountability for preventable readmissions have heightened interest in identifying system-level interventions to reduce readmissions...
- Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospitalOgnjen Gajic
Mayo Clinic College of Medicine, Rochester, MN, USA
Crit Care Med 36:36-44. 2008..We compared the quality of care and patient/family and provider satisfaction before and after changing the staffing model from on-demand to continuous 24-hr critical care specialist presence in the intensive care unit...
- Shift work and metabolic syndrome, diabetes mellitus and ischaemic heart diseaseDorota Szosland
The National Centre for Workplace Health Promotion, Nofer Institute of Occupational Medicine, Łódź, Poland
Int J Occup Med Environ Health 23:287-91. 2010..Recent data increasingly reveal relations between shift work and plasma resistin, ghrelin, leptin and adiponectin...
- Burnout and internal medicine resident work-hour restrictionsRavi Gopal
Division of General Internal Medicine, Department of Internal Medicine, University of Colorado Health Science Center, Aurora, CO, USA
Arch Intern Med 165:2595-600. 2005..We evaluated rates of burnout in internal medicine residents before and after the implementation of the new work-hour restriction...
- Reconsidering the conceptualization of nursing workload: literature reviewRoisin Morris
Dublin City University, School of Nursing, Dublin City University, Glasnevin, Dublin, Ireland
J Adv Nurs 57:463-71. 2007....
- Systematic review of studies of staffing and quality in nursing homesJane E Bostick
University of Missouri Columbia, Columbia, MO 65211, USA
J Am Med Dir Assoc 7:366-76. 2006..To evaluate a range of staffing measures and data sources for long-term use in public reporting of staffing as a quality measure in nursing homes...
- The effects of nurse staffing on adverse events, morbidity, mortality, and medical costsSung Hyun Cho
Korea Institute for Health and Social Affairs, Seoul, Korea
Nurs Res 52:71-9. 2003..Nurse staffing levels are an important working condition issue for nurses and believed to be a determinant of the quality of nursing care and patient outcomes...
- Workload Indicators of Staffing Need method in determining optimal staffing levels at Moi Teaching and Referral HospitalP Musau
Department of Surgery, Moi Teaching and Referral Hospital, P O Box 4606 30100, Eldoret, Kenya
East Afr Med J 85:232-9. 2008..With the health personnel consuming up to three quarters of recurrent budgets, a need arises to ascertain that a workforce for any health facility is the optimal level needed to produce the desired product...
- Workhours in relation to work stress, recovery and healthMikko Härmä
Finnish Institute of Occupational Health, Centre of Expertise on Human Factors at Work, Topeliuksenkatu 41 a A, FI 00250 Helsinki, Finland
Scand J Work Environ Health 32:502-14. 2006....
- Impact of night-float rotation on sleep, mood, and alertness: the resident's perceptionAnita Cavallo
Department of Pediatrics, Children s Hospital Medical Center, Cincinnati, OH 45229 3039, USA
Chronobiol Int 19:893-902. 2002..The impact of night-shift work should be considered in the design of night-float schedules, and teaching should be provided for residents to learn coping strategies for night-shift work...
- Physician staffing patterns and clinical outcomes in critically ill patients: a systematic reviewPeter J Pronovost
Department of Critical Care Medicine, Hopkins University, Baltimore, MD, USA
JAMA 288:2151-62. 2002..Intensive care unit (ICU) physician staffing varies widely, and its association with patient outcomes remains unclear...
- Effects on sleep-related problems and self-reported health after a change of shift scheduleBjörn Karlson
Department of Laboratory Medicine, Lund University, Lund, Sweden
J Occup Health Psychol 14:97-109. 2009..As predicted, on most dimensions measured the shift workers displayed clear improvements from initially poorer scores than daytime workers, and the daytime workers displayed no improvements...
- Nurse staffing and postsurgical adverse events: an analysis of administrative data from a sample of U.S. hospitals, 1990-1996Christine Kovner
Division of Nursing, School of Education, New York University, New York 10003 6677, USA
Health Serv Res 37:611-29. 2002..To examine the impact of nurse staffing on selected adverse events hypothesized to be sensitive to nursing care between 1990 and 1996, after controlling for hospital characteristics...
- Hospital nurse practice environments and outcomes for surgical oncology patientsChristopher R Friese
Dana Farber Cancer Institute, Harvard School of Public Health, 44 Binney Street SM 271, Boston, MA 02115, USA
Health Serv Res 43:1145-63. 2008..To examine the effect of nursing practice environments on outcomes of hospitalized cancer patients undergoing surgery...
- Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and educationDarcy A Reed
Division of Primary Care Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
Ann Intern Med 153:829-42. 2010..Protected sleep time (that is, "nap") is strongly encouraged. As duty-hour reforms are implemented, examination of the quality and outcomes of the relevant literature is important...
- Variations in nursing practice environments: relation to staffing and hospital characteristicsEileen T Lake
Department of Sociology, University of Pennsylvania, Philadelphia, PA 19104 6096, USA
Nurs Res 55:1-9. 2006..While improvements in nursing practice environments are considered essential to address the nursing shortage, relatively little is known about the nursing practice environments in most hospitals...
- Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge recordsAnne Marie Rafferty
Florence Nightingale School of Nursing and Midwifery, King s College London, James Clerk Maxwell Building, 57 Waterloo Road, London SE1 8WA, UK
Int J Nurs Stud 44:175-82. 2007..Despite growing evidence in the US, little evidence has been available to evaluate whether internationally, hospitals in which nurses care for fewer patients have better outcomes in terms of patient survival and nurse retention...
- Patient volume, staffing, and workload in relation to risk-adjusted outcomes in a random stratified sample of UK neonatal intensive care units: a prospective evaluationJanet Tucker
Dugald Baird Centre for Research on Women s Health, Department of Obstetrics and Gynaecology, University of Aberdden, UK
Lancet 359:99-107. 2002..We assessed whether patient volume, staffing levels, and workload are associated with risk-adjusted outcomes, and with costs or staff wellbeing...
- The working hours of hospital staff nurses and patient safetyAnn E Rogers
School of Nursing, Center for Sleep and Respiratory Neurobiology, School of Medicine, University of Pennsylvania, Philadelphia, USA
Health Aff (Millwood) 23:202-12. 2004..The risks of making an error were significantly increased when work shifts were longer than twelve hours, when nurses worked overtime, or when they worked more than forty hours per week...
- Relationship between quality of care, staffing levels, skill mix and nurse autonomy: literature reviewVeronica Currie
Research and Development Fellow, Quality Improvement Programme, RCN Institute, Radcliffe Infirmary, Oxford, UK
J Adv Nurs 51:73-82. 2005....
- Postprandial hormone and metabolic responses amongst shift workers in AntarcticaJ Lund
British Antarctic Survey, High Cross, Madingley Road, Cambridge, UK
J Endocrinol 171:557-64. 2001..When applied to the 20% of the UK workforce currently employed on shift work, these findings have major significance from an occupational health perspective...
- Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injuryMiriam M Treggiari
Department of Anesthesiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104, USA
Am J Respir Crit Care Med 176:685-90. 2007..Prior studies supported an association between intensive care unit (ICU) organizational model or staffing patterns and outcome in critically ill patients...
- Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparisonF P Cappuccio
Sleep, Health and Society Programme, Clinical Sciences Research Institute, Warwick Medical School, Coventry, CV2 2DX, UK
QJM 102:271-82. 2009..Surveys of doctors' subjective opinions on shift work have not provided reliable objective data with which to evaluate its efficacy...
- Nurse staffing models, nursing hours, and patient safety outcomesLinda McGillis Hall
Nursing Effectiveness, Utilization, and Outcomes Research Unit, Faculty of Nursing, University of Toronto, Ontario
J Nurs Adm 34:41-5. 2004..Limited research has been conducted examining the effect of nurse staffing models on costs and patient outcomes...
- Overcrowding in the nation's emergency departments: complex causes and disturbing effectsR W Derlet
Emergency Department, University of California Davis Medical Center, Sacramento, CA 95817, USA
Ann Emerg Med 35:63-8. 2000..Unless the problem is solved in the near future, the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people of this country at risk...
- Nurse staffing, care delivery model, and patient care qualityLinda McGillis Hall
Canadian Institutes of Health Research, Ottawa, Ontario
J Nurs Care Qual 19:27-33. 2004..Patient care delivery models were also important predictors of the quality outcomes studied...
- Residency training at a crossroads: duty-hour standards 2010Kevin G Volpp
Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, USA
Ann Intern Med 153:826-8. 2010..A more flexible, dynamic policy that emphasizes ongoing testing and evaluation would be more likely to achieve improvements in clinical and educational outcomes...
- Applying WHO's 'workforce indicators of staffing need' (WISN) method to calculate the health worker requirements for India's maternal and child health service guarantees in Orissa StateAmy Hagopian
Department of Global Health, University of Washington, Seattle, WA, USA
Health Policy Plan 27:11-8. 2012..We measured the difference between this ideal number and current staffing levels...
- The night float paradigm to decrease sleep deprivation: good solution or a new problem?Anita Cavallo
Department of Pediatrics, Cincinnati Children s Hospital Medical Centre, 3333 Burnet Avenue, Cincinnati, OH 45229 3039, USA
Ergonomics 46:653-63. 2003..36, p = 0.03. Training programs that adopt the night float rotation must be aware of potential deleterious effects of the night float rotation as they may lead to serious consequences on residents' performance and patients' safety...
- Sleep length and quality, sleepiness and urinary melatonin among healthy Danish nurses with shift work during work and leisure timeAnne Helene Garde
National Research Centre for the Working Environment, Copenhagen, Denmark
Int Arch Occup Environ Health 82:1219-28. 2009..Sleep problems are common effects of shift work. The aim of the present study was to evaluate how different types of shift affect sleep and sleepiness, and to relate sleepiness to urinary 6-sulfatoxymelatonin...
- How post-call resident doctors perform, feel and are perceived in out-patient clinicsChen Chung Liu
Department of Psychiatry, National Taiwan University Hospital, Taipei
Med Educ 45:669-77. 2011..Recently, in the U.S.A., the Accreditation Council for Graduate Medical Education guidelines limited residents' consecutive duty to 24 hours. In Europe, the European Working Time Directive limits the average working week to 48 hours...
- Introduction of night shift call system for surgical trainees: a prospective self-controlled trialDaniel Tai Yam Lee
Department of Surgery, United Christian Hospital, Kwun Tong, Kowloon, Hong Kong
Med Educ 37:495-9. 2003..This study aimed to determine the advantages and disadvantages of an NSCS compared with those of the conventional overnight call system (ONCS)...
- Impact of staffing on bloodstream infections in the neonatal intensive care unitJeannie P Cimiotti
Center for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, 19104 6096, USA
Arch Pediatr Adolesc Med 160:832-6. 2006..To examine the association between registered nurse staffing and healthcare-associated bloodstream infections in infants in the neonatal intensive care unit (NICU)...
- Data suggest nurse fatigue threatens patient safetyStephanie Tabone
Tex Nurs 78:4-7. 2004
- Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patientsAlicia R Privette
Department of Surgery, College of Medicine, University of Vermont, Burlington, VT 05401, USA
Ann Surg 250:316-21. 2009....
- Are for-profit hospital conversions harmful to patients and to Medicare?Gabriel Picone
University of South Florida, USA
Rand J Econ 33:507-23. 2002..Thereafter, the decline in quality is much lower. A similar decline in quality is not observed after hospitals switch from for-profit to government or private nonprofit status...
- Hospital staff nurses' work hours, meal periods, and rest breaks. A review from an occupational health nurse perspectiveAmy Witkoski
University of Pennsylvania, School of Nursing, Philadelphia, PA 19104, USA
AAOHN J 58:489-97; quiz 498-9. 2010..Overall findings suggest that the expertise of an occupational health nurse in the hospital setting could significantly improve the health and safety of staff nurses...
- Changes in hospital performance after ownership conversionsYu Chu Shen
Health Policy Center, Urban Institute, Washington DC 20037, USA
Inquiry 40:217-34. 2003..No conversion of any kind led to a reduced amount of unprofitable care, but conversion to private ownership (nonprofit and for-profit) increased the probability of trauma center closures...
- Introduction of a 14-hour work shift model for housestaff in the medical ICUBekele Afessa
Division of Pulmonary and Critical Care Medicine, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, USA
Chest 128:3910-5. 2005..To describe the outcomes of switching housestaff from a traditional model of "long-call" every 4 days to a 14-h work-shift model in a medical ICU (MICU) over a 5-week pilot period...
- Development of the Hospital Nurse Surveillance Capacity ProfileAnn Kutney-Lee
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104 4217, USA
Res Nurs Health 32:217-28. 2009..Greater nurse surveillance capacity was significantly associated with better quality of care and fewer adverse events. The profile may assist administrators to improve nurse surveillance and patient outcomes...
- Modeling the impact of the components of long work hours on injuries and "accidents"Simon Folkard
Universite Paris Descartes, Faculte de Medecine, Laboratoire d Anthropolgie Appliquée, Paris, France
Am J Ind Med 49:953-63. 2006..The potential impact of long work hours on health and safety is a major concern that has resulted in various work hour regulations...
- Failure to rescueSean P Clarke
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, 420 Guardian Drive, Philadelphia, PA 19104 6096, USA
Am J Nurs 103:42-7. 2003
- Quality and cost analysis of nurse staffing, discharge preparation, and postdischarge utilizationMarianne E Weiss
Marquette University College of Nursing, Milwaukee, WI 53201 1881, USA
Health Serv Res 46:1473-94. 2011....
- Effects of shift work on noise-induced hearing lossYu Fung Chou
Institute of Environmental Health, Deparment of Occupational Safety and Health, School of Public Health, China Medical University, Taipei, Taiwan
Noise Health 11:185-8. 2009..In conclusion, working a 12-hour shift followed by a day off is best for workers and hearing protection should be provided in high noise areas...
- Nurse staffing levels: impact of organizational characteristics and registered nurse supplyMary A Blegen
School of Nursing, University of California, San Francisco, 2 Koret, 0608, Room N707B, San Francisco, CA 94143 0608, USA
Health Serv Res 43:154-73. 2008..To assess the impact of nurse supply in the geographic areas surrounding hospitals on staffing levels in hospital units, while taking into account other factors that influence nurse staffing...
- Shift work, confounding and death from ischaemic heart diseaseG Yadegarfar
Department of Biostatistics and Epidemiology, School of Public Health, Isfahan University of Medical Sciences, Hezar Jerib Road, Isfahan, Iran
Occup Environ Med 65:158-63. 2008..To investigate the relation between shift work and death from ischaemic heart disease (IHD) and evidence for confounding by social class and healthy shift worker effects...
- Roles of nurse aides and family members in acute patient care in TaiwanHuey Ming Tzeng
Department of Nursing, I Shou University, Kaohsiung, Taiwan
J Nurs Care Qual 19:169-75. 2004..This article examines the roles of nurse aides and family members in providing acute patient care in Taiwan and discusses issues of nursing care quality as related to nurse staffing in acute care hospitals...
- A comparison of US, UK, and Dutch perioperative staffing practicesMartie van Beuzekom
OR Centre at Leiden University Medical Centre, Leiden, The Netherlands
AORN J 84:632-41. 2006..An examination of the historical differences in staffing may support the hypothesis that both disciplines may be needed for the OR to function most effectively...
- Measurement of nursing care time of specific interventions on a hematology-oncology unit related to diagnostic categoriesAndrea Colombo
Faculty of Medicine, San Gerardo University Hospital, University of Milano Bicocca, Monza, Italy
Cancer Nurs 28:476-80. 2005..The results obtained are an estimate of the different daily workload that is required for these categories of patients in selected nursing procedures...
- Surgical residents' perceptions of the effects of the ACGME duty hour requirements 1 year after implementationJennifer L Irani
Department of Surgery, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
Surgery 138:246-53. 2005....
- Nurse staffing and unplanned extubation in the pediatric intensive care unitJames P Marcin
Department of Pediatrics and Department of Nursing, UC Davis Children s Hospital, University of California Davis, 2516 Stockton Boulevard, Sacramento, CA 95817, USA
Pediatr Crit Care Med 6:254-7. 2005..To determine the association between unplanned extubations and years of nurse experience and nurse-to-patient ratio in the pediatric intensive care unit (PICU)...
- Mortality and morbidities among very premature infants admitted after hours in an Australian neonatal intensive care unit networkMohamed E Abdel-Latif
Department of Newborn Care, Royal Hospital for Women, New South Wales, Australia
Pediatrics 117:1632-9. 2006..We hypothesize that adverse sequelae are increased in these infants...
- Physician assistants as physician extenders in the pediatric intensive care unit setting-A 5-year experienceMudit Mathur
Department of Pediatrics, The Children s Hospital at Downstate, and SUNY Downstate College of Medicine, Brooklyn, NY, USA
Pediatr Crit Care Med 6:14-9. 2005..To describe the scope of practice and complementary role of physician assistants as physician extenders in the pediatric intensive care unit...
- The left-without-being-seen rate: an imperfect measure of emergency department crowdingJesse M Pines
Acad Emerg Med 13:807; author reply 807-8. 2006
- 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...
- Cardiovascular risk factors and primary selection into shift workKirsten Nabe-Nielsen
The National Research Centre for the Working Environment, Lerso Parkalle 105, DK 2100 Copenhagen, Denmark
Scand J Work Environ Health 34:206-12. 2008....
- Nurses' working conditions: implications for infectious diseasePatricia W Stone
Columbia University School of Nursing, New York, New York 10032, USA
Emerg Infect Dis 10:1984-9. 2004..Understanding and improving nurses' working conditions can potentially decrease the incidence of many infectious diseases. Relevant research is reviewed, and policy options are discussed...
- Effects of shift rotation and the flexibility of a shift system on daytime alertness and cardiovascular risk factorsKatriina Viitasalo
Finnair Health Services, Finnair Plc, IF 67, FI 01053 Finnair, Finland
Scand J Work Environ Health 34:198-205. 2008....
- [Why are babies born at night at increased risk of early neonatal mortality?]G Heller
Klinik für Geburtshilfe und Perinatologie, Zentrum für Gynäkologie und Geburtshilfe, Universitat Marburg
Z Geburtshilfe Neonatol 207:137-42. 2003..However, alternative explanations exist such as decreased birth-weight of night births. The objective of this study was to further investigate this relationship...
- [Effect of nurse staffing on patient outcomes: a review of the literature]Yia Wun Liang
Department of Senior Citizen Service Management, National Taichung Nursing College, ROC
Hu Li Za Zhi 57:77-82. 2010..Insufficient nurse staffing leads to increases in adverse patient events, prolonged average hospital stay lengths, and total healthcare expenditures. Evidence shows that nurse staffing is closely linked to patient outcomes...
- Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environmentAnn Adams
Senior Research Fellow, Centre for Primary Health Care Studies, School of Health and Social Studies, University of Warwick, Coventry, UK
J Nurs Manag 11:287-92. 2003..Patients are also likely to benefit from a lower incidence of 'hierarchical practice' associated with having a low nurse/bed ratio within a ward...
- The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care unitsStephen M Pastores
Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA
Crit Care Med 39:2540-9. 2011....
- Optimizing the arrival, waiting, and NPO times of children on the day of pediatric endoscopy proceduresBettina Smallman
Department of Anesthesiology, SUNY Upstate, Syracuse, NewYork, USA
Anesth Analg 110:879-87. 2010..We critique which of the several types of OR management decisions dependent on accuracy of prediction are relevant to series (lists) of brief pediatric anesthetics...
- Typical savings from each minute reduction in tardy first case of the day startsFranklin Dexter
Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 108:1262-7. 2009..Analysts and clinicians sitting in operating room (OR) committee meetings cannot evaluate rapidly whether a suggested idea to reduce delays in first case of the day starts can be beneficial economically...
- Scheduling a delay between different surgeons' cases in the same operating room on the same day using upper prediction bounds for case durationsF Dexter
Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 92:943-6. 2001..2% of single cases and 92% +/- 0.6% of pairs of cases. We conclude that our methodology can be used to calculate an appropriate, and reasonably accurate, scheduled delay between two surgeons' cases in the same OR on the same day...
- Use of operating room information system data to predict the impact of reducing turnover times on staffing costsFranklin Dexter
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City 52242, USA
Anesth Analg 97:1119-26, table of contents. 2003....
- How to release allocated operating room time to increase efficiency: predicting which surgical service will have the most underutilized operating room timeFranklin Dexter
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa 52242, USA
Anesth Analg 96:507-12, table of contents. 2003..In contrast, compromising by releasing the OR time of a service other than the one with the most allocated but unscheduled OR time markedly reduces OR efficiency. OR managers can use these results when releasing allocated OR time...
- Both bias and lack of knowledge influence organizational focus on first case of the day startsElisabeth U Dexter
Section of General Thoracic Surgery, Department of Surgery, State University of New York Upstate Medical University, Syracuse, New York, USA
Anesth Analg 108:1257-61. 2009..Nevertheless, delays in starting first cases of the day are a common topic in OR committee meetings...
- A psychological basis for anesthesiologists' operating room managerial decision-making on the day of surgeryFranklin Dexter
Department of Anesthesia and Health Management and Policy, Division of Management Consulting, University of Iowa, IA 52242, USA
Anesth Analg 105:430-4. 2007..Although a sound basis for decision-making involving individual ORs, the heuristic is often suboptimal economically when applied to decisions involving multiple ORs...
- Operating room managerial decision-making on the day of surgery with and without computer recommendations and status displaysFranklin Dexter
Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 105:419-29. 2007..Decision makers can rely on passive status displays (e.g., big screens or whiteboards), active status displays (e.g., text pager notification), and/or command displays (e.g., text recommendations about what to do)...
- Markers of insulin resistance in day and shift workers aged 30-59 yearsTeruo Nagaya
Department of Public Health, Nagoya City University Medical School, 1 Kawasumi, Mizuho cho, Mizuho ku, Nagoya 467 8601, Japan
Int Arch Occup Environ Health 75:562-8. 2002..To examine relationships between shift work and markers (metabolic abnormalities) of insulin resistance (IR)...
- Systematic review of general thoracic surgery articles to identify predictors of operating room case durationsFranklin Dexter
Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 106:1232-41, table of contents. 2008..We hypothesized that the accuracy of case duration prediction could be improved by the use of other electronic medical record data (e.g., patient weight or surgeon notes using standardized vocabularies)...
- Statistical power analysis to estimate how many months of data are required to identify operating room staffing solutions to reduce labor costs and increase productivityRichard H Epstein
Department of Anesthesiology, Jefferson Medical College, and Medical Data Applications, Ltd, USA
Anesth Analg 94:640-3; table of contents. 2002..When applied routinely for adjusting staffing (e.g., on a quarterly basis), 9 to 12 mo of data should be used...
- Review article: review of behavioral operations experimental studies of newsvendor problems for operating room managementRuth E Wachtel
Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 110:1698-710. 2010..Results suggest that only the use of computerized decision-support systems can effectively circumvent these biases...
- Effect of reducing interns' weekly work hours on sleep and attentional failuresSteven W Lockley
Division of Sleep Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 351:1829-37. 2004....
- Internal medicine housestaff and attending physician perceptions of the impact of the New York State Section 405 regulations on working conditions and supervision of residents in two training programsJ Conigliaro
Department of Medicine, Albert Einstein College of Medicine, Bronx, NY 10461
J Gen Intern Med 8:502-7. 1993..Thus, despite some substantial benefits, Section 405 may not be achieving its goals of improving resident supervision and the quality of patient care by houseofficers...
- Does a stressful psychosocial work environment mediate the effects of shift work on cardiovascular risk factors?R Peter
Department of Medical Sociology, University of Ulm, Germany
Scand J Work Environ Health 25:376-81. 1999..The hypothesis was tested that psychosocial work stress, as defined by the model of effort-reward imbalance, mediates the effects of shift work on cardiovascular risk...
- Patient safety: fatigue among clinicians and the safety of patientsDavid M Gaba
Patient Safety Center of Inquiry, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA
N Engl J Med 347:1249-55. 2002
- Effects of hospital staffing and organizational climate on needlestick injuries to nursesSean P Clarke
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, 19104 6096, USA
Am J Public Health 92:1115-9. 2002..This study determined the effects of nurse staffing and nursing organization on the likelihood of needlestick injuries in hospital nurses...
- Effects of a night float system on housestaff neuropsychologic functionD J Gottlieb
Department of Internal Medicine, University of Minnesota, Minneapolis
J Gen Intern Med 8:146-8. 1993..Future investigation should be directed at clarifying the aspects of residency training that adversely affect housestaff mood...
- Hospital staffing, organization, and quality of care: Cross-national findingsLinda H Aiken
Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Department of Sociology, University of Pennsylvania, Philadelphia 19104, USA
Nurs Outlook 50:187-94. 2002..To examine the effects of nurse staffing and organizational support for nursing care on nurses' dissatisfaction with their jobs, nurse burnout, and nurse reports of quality of patient care in an international sample of hospitals...
- Nurse staffing and patient falls on acute care hospital unitsNancy Dunton
University of Kansas Medical Center School of Nursing, 3901 Rainbow Boulevard, Mail Stop 4043, Kansas City, KS 66160, USA
Nurs Outlook 52:53-9. 2004
- Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverageYaseen Arabi
Intensive Care Department and College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
Crit Care Med 34:605-11. 2006..The objective of this study was to determine whether weekend and nighttime admissions compromise patient outcome in an intensive care unit staffed by an onsite intensivist 24 hrs a day and 7 days a week...
- Nurse staffing and adverse events in hospitalized childrenBarbara A Mark
University of North Carolina at Chapel Hill, NC, USA
Policy Polit Nurs Pract 8:83-92. 2007..There was no statistically significant relationship between RN staffing and mortality. More hours of care provided by RNs was associated with improved quality of care for hospitalized pediatric patients...
- Effect of nurse staffing and antimicrobial-impregnated central venous catheters on the risk for bloodstream infections in intensive care unitsJuan Alonso-Echanove
Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
Infect Control Hosp Epidemiol 24:916-25. 2003..Defining risk factors for central venous catheter (CVC)-associated bloodstream infections (BSIs) is critical to establishing prevention measures, especially for factors such as nurse staffing and antimicrobial-impregnated CVCs...
- Impact of nonphysician staffing on outcomes in a medical ICUHayley B Gershengorn
Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Medical Center, New York, NY 10003, USA
Chest 139:1347-53. 2011..In our study, we compare outcomes of nonphysician provider-based teams to those of medical house staff-based teams in the MICU...
- Calculating institutional support that benefits both the anesthesia group and hospitalFranklin Dexter
Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, IA 52242, USA
Anesth Analg 106:544-53, table of contents. 2008..e., OR allocations). Such an agreement creates incentives whereby the hospital and anesthesia group both profit from increased OR workload and from more accurate specialty-specific staffing...
- Relationships between nurse staffing and patient outcomesKe Ping Yang
Cardinal Tien College of Nursing
J Nurs Res 11:149-58. 2003..It obviously illustrates the relationships between nurse staffing and the quality of nursing practice...
- Effects of critical care nurses' work hours on vigilance and patients' safetyLinda D Scott
Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, Michigan, USA
Am J Crit Care 15:30-7. 2006..However, little is known about the effects of the nurses' work hours on vigilance and patients' safety...
- Rotating shift work and risk of prostate cancerMichael Conlon
Epidemiology 18:182-3. 2007
- Intensivist physician staffing and the process of care in academic medical centresJeremy M Kahn
Division of Pulmonary, Allergy and Critical Care Medicine, Center for Clinical Epidemiology and Biostatistics, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA
Qual Saf Health Care 16:329-33. 2007..Although intensivist physician staffing is associated with improved outcomes in critical care, little is known about the mechanism leading to this observation...
- The Influence of Staff Turnover on QualityNicholas Castle; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- EXAMINING NURSING HOME COMPARENicholas Castle; Fiscal Year: 2005..abstract_text> ..
- INCIDENT REPORTING IN NURSING HOMESNicholas Castle; Fiscal Year: 2008..This information will further our development of a standardized incident reporting mechanism recommended by the Institute of Medicine and others. [unreadable] [unreadable] [unreadable]..
- Staffing Characteristics of Nursing Homes and QualityNicholas Castle; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- Financial incentives for smoking cessationKevin Volpp; Fiscal Year: 2006..abstract_text> ..
- Financial incentives for smoking cessationKevin Volpp; Fiscal Year: 2008..unreadable] [unreadable] [unreadable] [unreadable]..
- Impact of resident work hour rules on errors and qualityKevin Volpp; Fiscal Year: 2007..Results from this study will be central to any future efforts to reduce errors in teaching hospitals through resident work hour reform. ..
- A Model of Patient and Nursing Administration OutomesBarbara Mark; Fiscal Year: 2006..abstract_text> ..
- Nurse Staffing, Financial Performance, Quality of CareBarbara Mark; Fiscal Year: 2009....
- Do organizational factors influence both patient and wo*Alison Trinkoff; Fiscal Year: 2002....
- Extended Work Schedules and Workplace Injury in NursesAlison Trinkoff; Fiscal Year: 2004..Identifying organizational variables related to nurse's health that, if modified, could reduce the likelihood of worker injury is key to maximizing the quality of health care while maintaining a healthy workforce. ..
- Physical Restraints and Therapy Disruption in HospitalsAnn Minnick; Fiscal Year: 2005..abstract_text> ..
- Outcomes of ICU Working ConditionsPatricia Stone; Fiscal Year: 2003..In addition, obtaining NNIS and Medicare data creates an opportunity to explore the sensitivity and specificity of identifying NI through claims data. ..
- MANAGEMENT OF EXCESSIVE DAYTIME SLEEPINESS IN NARCOLEPSYAnn Rogers; Fiscal Year: 2001..In order to evaluate whether or not the NSSQ and ESS are sensitive to treatment effects, newly diagnosed subjects will be tested prior to starting stimulant medications, after 3 months of treatment and after one year of treatment. ..
- The Effect of Patient Volume on Outcome in the ICUJeremy Kahn; Fiscal Year: 2006..unreadable] [unreadable] [unreadable]..
- Job Retention Among Home Healthcare NursesCAROL ELLENBECKER; Fiscal Year: 2005..Knowledge of variables that contribute to job retention in home care will provide the information necessary to maintain nursing staff and assure access to quality home healthcare services. ..
- SIESTA NAPS IN OLDER PEOPLETimothy Monk; Fiscal Year: 2001....
- Sleep Loss, Sleepiness and Fatigue in 12-Hour NursesJeanne Geiger Brown; Fiscal Year: 2008....
- Aspartame Intake and the Risk of CancerEva Schernhammer; Fiscal Year: 2008..Our results may help decision-makers formulate guidelines and direct future aspartame studies. Even a null finding would be important in this context. [unreadable] [unreadable] [unreadable]..
- Preparing rural and urban hospitals to improve safety culture through simulationDavid Gaba; Fiscal Year: 2007..We will also use multiple methods, including process measures and participant evaluations, to evaluate simulation qualitatively. [unreadable] [unreadable] [unreadable]..
- Evaluation of Workplace Violence Prevention InterventionJane Lipscomb; Fiscal Year: 2006..4) Design and implement a violence prevention intervention within these workplaces. 5) Conduct a process and outcome evaluation of the intervention in sample workplaces one year following program implementation. ..
- ENGAGEMENT OF PERSONS WITH DEMENTIAJiska Cohen Mansfield; Fiscal Year: 2006..In that way, it presents an exciting prospect for improving the quality of life in demented persons, thereby reducing their caregivers' burden. ..
- Gut Ischemia/Reperfusion Injury: Modulation by NutrientsRosemary Kozar; Fiscal Year: 2006..The sponsors are an integral part of this arrangement and are especially suited to ensure success of the proposed project...
- Targeted, Tailored and Timely (T3) Symptom Management for Prostate CancerSusan Beck; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- A CDSS to Translate Pressure Ulcer Prediction and Prevention to Home Health CareSandra Bergquist Beringer; Fiscal Year: 2008..unreadable] [unreadable] [unreadable]..
- EFFECTS OF OSHA GUIDELINES ON VIOLENCE PREVENTION IN MENJane Lipscomb; Fiscal Year: 2001..abstract_text> ..
- TREATMENT OF CIRCADIAN SLEEP DISORDERS WITH BRIGHT LIGHTSteven W Lockley; Fiscal Year: 2010....
- Alcohol and Daily Work and Family ExperiencesJOSEPH GRZYWACZ; Fiscal Year: 2002..g., personality/dispositions, feelings of control and master, psychological wellbeing, social integration), and alcohol-related outcomes. ..
- AGING EFFECTS ON INTERMITTENT WORK CAPACITYMaury Nussbaum; Fiscal Year: 2002..The quantification of intermittent work capacity is an important first step towards effective risk assessment, job evaluation, and reduction of economic and medical costs associated with workplace injuries. ..
- UNIQUE ASPECTS OF C1-- INHIBITOR STRUCTURE / FUNCTIONPhilip Patston; Fiscal Year: 2002..abstract_text> ..
- A New Measure of Nursing Home Care QualityMarilyn Rantz; Fiscal Year: 2003..abstract_text> ..
- ENHANCING DRUG COURT RETENTION IN A RURAL STATECarl Leukefeld; Fiscal Year: 2003....
- PSYCHOBIOLOGY OF PTSD & ADVERSE OUTCOMES OF CHILDBEARINGJulia Seng; Fiscal Year: 2008..Findings from this study will provide a strong basis for future clinical research and an evidence base for potentially modifying maternity care practice guidelines to include care for PTSD. ..
- Sleep Disturbances in People with Cancer and CaregiversAnn Berger; Fiscal Year: 2004..abstract_text> ..
- Effects of Light at Night on Circadian System in NursesEva Schernhammer; Fiscal Year: 2008..abstract_text> ..
- Impact of Patient Safety Initiatives on Nursing Workflow and ProductivityMary Blegen; Fiscal Year: 2008..This conference will bring together experts on the work of nurses and on ways to measure that work in order to develop valid approaches to studying this increase in work demands. [unreadable] [unreadable] [unreadable]..
- Multilevel Intervention to Improve Nursing Home OutcomesMarilyn Rantz; Fiscal Year: 2009..Similarly, we will observe processes of care delivery before, during and after the multilevel intervention to describe the adoption of the care delivery strategies recommended in the intervention. ..
- Understanding Access to Hospice CareMelissa Carlson; Fiscal Year: 2008..This information is critical for understanding disparities in use of hospice and for informing policies to increase the availability of hospice to patients with terminal illness and their families. [unreadable] [unreadable] [unreadable]..
- Clock Genes, Night Work, and Breast Cancer RiskEva Schernhammer; Fiscal Year: 2008..The results from this study could help identify individuals who are more susceptible to night work than others, based on their genetic profile. ..
- Technology to Automatically Detect Early Signs of Illness in Senior HousingMarilyn J Rantz; Fiscal Year: 2010..Subjects will not use any expensive telehealth equipment or wear any devices. We propose to use this information to detect changes in health status which could indicate an impending acute illness or exacerbation of chronic illness. ..
- 3rd Annual Pediatric Telehealth ColloquiumJames Marcin; Fiscal Year: 2008..Incorporating telemedicine into pediatric care can help increase access, decrease disparities and increase quality of care provided to children living in rural and underserved communities. [unreadable] [unreadable] [unreadable]..
- Occupational Trunk Flexion and Neuromuscular DisturbanceMaury A Nussbaum; Fiscal Year: 2010..Results will guide future studies and/or epidemiologic investigations regarding the mechanism of cumulative risk from flexed working postures. ..
- A Pilot Trial of Oral Melatonin Supplementation in Breast Cancer SurvivorsEva Schernhammer; Fiscal Year: 2007..This pilot data could lay the groundwork for a large scale trial to assess the chemopreventive potential of melatonin in women, both with and without a personal history of breast cancer. [unreadable] [unreadable] [unreadable]..
- International Scientific Conference on Prevention of Work Related MusculoskeletalLaura Punnett; Fiscal Year: 2007..unreadable] [unreadable] [unreadable]..
- Racial Disparity in Access High Quality Cardiac SurgeonsDana Mukamel; Fiscal Year: 2005..The knowledge gained in this project is essential for development of targeted programs that could successfully address the disparity in access to high quality cardiac care among elderly racial minorities. ..
- Are Volume Standards Accurate Measures of Quality?Laurent Glance; Fiscal Year: 2005..abstract_text> ..
- NASD Academic ED Collaborative - UC San DiegoTheodore Chan; Fiscal Year: 2004..UCSD ED investigators will be responsible for following up on difficult to reach) patients. Local data and survey results will be submitted to the R-25 and R-21 sites for analysis. ..
- HIV RISK REDUCTION AMONG RURAL DRUG ABUSERSCarl Leukefeld; Fiscal Year: 2004..Data analysis will include multivariate approaches to examine immediate changes and at 12-months as well as logistic regression and structural modeling to examine factors leading to differences in the intervention. ..
- Nursing Effort and Quality in Long-Term Care FacilitiesRobert Kane; Fiscal Year: 2004..The database consists of 3125 residents in 98 nursing units from 62 facilities. Results should shed light on the current policy debate over nursing home staffing standards. ..
- Minimizing Error, Maximizing Outcome (MEMO): The Physic*Mark Linzer; Fiscal Year: 2003..We also anticipate being able to answer questions about women and minority physicians, groups that are typically underrepresented in physician-centered research. ..
- Videoscopic Drainage of Infected Pancreatic CollectionsKaren Horvath; Fiscal Year: 2004..The long-term goal is to use data obtained from this study as the basis for a multicenter, Phase III, randomized study comparing the VARD to the current standard of care, open surgical necrosectomy. ..
- Nursing Homes: Medical Staff Models and Care CorrelatesPaul Katz; Fiscal Year: 2006..Results of this study and its framework will guide future projects to explore the relationship between medical structure, medical practice patterns and health care outcomes. ..
- Risk factors and controls for falls from heightsMaury Nussbaum; Fiscal Year: 2006..abstract_text> ..
- Nurse Staffing and Adverse Events on Inpatient UnitsEILEEN LAKE; Fiscal Year: 2007..This study will strengthen the evidence base on how nurse staffing patterns and practice environments support the quality and safety of patient care. ..
- Factors Associated with RN Decisions to WorkCarol Brewer; Fiscal Year: 2004..If successful, we will expand the tools that can be used to examine work behavior of the whole RN population, and ultimately develop relevant policy. ..
- Permeability Changes in Small Bowel Allograft RejectionJonathan Fryer; Fiscal Year: 2006....
- Testing a video to improve provider-patient interactionDeborah Helitzer; Fiscal Year: 2006..This research addresses the priorities of announcement PAR-04-117 "Understanding and Promoting Health Literacy." ..
- Symptom Management in Blood and Marrow TransplantationMarlene Cohen; Fiscal Year: 2003..Future research will focus on developing and testing appropriate interventions. ..
- Risk Factors and Incidence of Sharps Injuries to NursesSean Clarke; Fiscal Year: 2009..The public health impact relates to better strategies for control of exposure to bloodborne pathogens in healthcare workers as well as improving workplace safety more generally. ..
- Improving Transfusion Practices Using Decision SupportJeffrey Rothschild; Fiscal Year: 2004..We will also examine whether improvements in appropriate transfusion ordering behavior among clinicians using decision support tools will be greater than improvements achieved by educational programs alone. ..
- Targeting BCL-XL Expression in MesotheliomaW Smythe; Fiscal Year: 2006..Upstream targets regulating bcl-xl expression for use in future therapeutic paradigms may be identified. ..
- Economics of Formulary Design and Mental Health PolicyHaiden Huskamp; Fiscal Year: 2006..Huskamp the training, mentoring, time and resources to develop the skills that will put her in a position to lead independent research on the economics of pharmaceutical treatment for mental illnesses. ..
- Effects of Mental Parity on High-Cost and Severely-Ill IndividualsHaiden A Huskamp; Fiscal Year: 2011..We will estimate a combination of two-part random-effects models for longitudinal data, latent class random-effects models, logistic regression models, Poisson regression models, and hazard models to address these aims. ..
- Nursing Home IT: Optimal Medication and Care DeliverySusan Horn; Fiscal Year: 2006..Distill and summarize lessons learned about what is critical for successful implementation of HIT in nursing homes, including facilitators, barriers, and strategies to address them. ..
- Development of an acute lung injury specific severity of illness measureCOLIN COOKE; Fiscal Year: 2007..unreadable] [unreadable] [unreadable] [unreadable]..