Improving the work environment for nurses in hospitals may not lead to improvement in value, according to a recently published study in JAMA Surgery. The study addresses work environments’ effect on value (i.e., cost vs. quality), because while it is generally thought that hospitals with better nurse work environments provide higher quality of care, less is known about the environments’ effect on value. In this study, partially funded by AHRQ, researchers analyzed Medicare records in Illinois, New York and Texas. They compared outcomes and costs of nearly 26,000 patients at 35 hospitals recognized nationally as having good nurse work environments and high nurse-to-bed ratios against nearly 63,000 patients at 298 control hospitals from 2004 to 2006. They found that the 30-day mortality rate in the hospitals with good work environments was 4.8 percent versus 5.8 percent in the control hospitals, while the cost per patient was similar. Read the abstract.
JAMA Surg. 2016 Jan 20. doi: 10.1001/jamasurg.2015.4908. [Epub ahead of print]
Comparison of the Value of Nursing Work Environments in Hospitals Across Different Levels of Patient Risk.
Silber JH1, Rosenbaum PR2, McHugh MD3, Ludwig JM4, Smith HL5, Niknam BA4, Even-Shoshan O6, Fleisher LA7, Kelz RR8, Aiken LH9.
DESIGN, SETTING, AND PARTICIPANTS:
MAIN OUTCOMES AND MEASURES:
CONCLUSIONS AND RELEVANCE:
- [PubMed - as supplied by publisher]