A5090911088- Emergency and Acute Care Studies
- Electronic Health Records Systems
- Geriatric Care and Nursing Homes
- Patient Satisfaction in Healthcare
- Nursing education and management
- Family and Patient Care in Intensive Care Units
- Nursing Diagnosis and Documentation
- Sepsis Diagnosis and Treatment
- Healthcare professionals’ stress and burnout
- Climate Change and Health Impacts
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Workforce Issues
- Healthcare Technology and Patient Monitoring
- Healthcare Policy and Management
- Hospital Admissions and Outcomes
- Palliative Care and End-of-Life Issues
- Workplace Health and Well-being
- Healthcare Quality and Management
- Healthcare Systems and Technology
- Disaster Response and Management
- Interprofessional Education and Collaboration
- Patient Safety and Medication Errors
- Cardiac, Anesthesia and Surgical Outcomes
- Simulation-Based Education in Healthcare
- Childhood Cancer Survivors' Quality of Life
University of Pittsburgh
2021-2024
AcademyHealth
2022-2024
University of Pennsylvania
2019-2022
Jones College
2020
Universitas Cordova
2020
Rutgers, The State University of New Jersey
2018
Agency for Healthcare Research and Quality
2018
To document how changes in the hospital work environment and nurse staffing over time are associated with missed nursing care.
Despite nurses' responsibilities in recognition and treatment of sepsis, little evidence documents whether patient-to-nurse staffing ratios are associated with clinical outcomes for patients sepsis.Using linked data sources from 2017 including MEDPAR patient claims, Hospital Compare, American Association, a large survey nurses, we estimate the effect hospital adherence to Early Management Bundle Severe Sepsis/Septic Shock SEP-1 sepsis bundles on patients' odds in-hospital 60-day mortality,...
Advances in artificial intelligence (AI) have enabled unprecedented capabilities, yet innovation teams struggle when envisioning AI concepts. Data science think of innovations users do not want, while domain experts that cannot be built. A lack effective ideation seems to a breakdown point. How might multidisciplinary identify buildable and desirable use cases? This paper presents first hand account ideating concepts improve critical care medicine. As team data scientists, clinicians, HCI...
Background Operational failures, defined as the inability of work system to reliably provide information, services, and supplies needed when, where, who, are a pervasive problem in U.S. hospitals that disrupt nurses’ ability safe effective care. Objectives We examined relationship between operational patient satisfaction, nurse-reported quality safety, nurse job outcomes (e.g., burnout satisfaction) whether differences hospital environments explained relationship. Methods conducted...
Objectives Sepsis is a serious inflammatory response to infection with high death rate. Timely and effective treatment may improve sepsis outcomes resulting in mandatory care protocol adherence reporting. How the impact of patient-to-nurse staffing compares compliance patient not well understood. This study aimed determine association between hospital compliance, ratios outcomes. Design A cross-sectional examining nurse staffing, outcomes, using linked data from (2015–2016, 2020) (2017)...
In the context of traditional nurse-to-patient ratios, ICU patients are typically paired with one or more copatients, creating interdependencies that may affect clinical outcomes. We aimed to examine effect copatient illness severity on mortality.
To identify and describe profiles of nursing resources compare nurse patient outcomes among the identified resource profiles.Research linking education, staffing, work environment treats these as separate variables. Individual hospitals exhibit distinct resources.This cross-sectional secondary analysis used 2006 data from 692 in four states. Latent class mixture modelling was to profiles. Regression models estimated associations outcomes.Three were (better, mixed poor) according their...
Public reporting is a tactic that hospitals and other health care facilities use to provide data such as outcomes clinicians, patients, payers. Although inadequate registered nurse (RN) staffing has been linked poor patient outcomes, only eight states in the United States publicly report ratios-five mandated by legislation three electively. We examine trends after New Jersey (NJ) legislature governor enacted P.L.1971, c.136 (C.26:2 H-13) on January 24, 2005, mandating all compile, post,...
Background: Evidence suggests that Magnet and non-Magnet hospitals differ with respect to quality of care. Purpose: Our study examined registered nurse (RN) staffing over time in using unit-level, publicly available data New Jersey. Methods: A secondary analysis longitudinal RN was conducted mandated, reported 64 representing 12 nursing specialties across 8 years (2008-2015). Staffing ratios were trended compare changes hospitals. Results: comparable for 9 specialties. On average, from 2008...
Nursing care is a critical determinant of patient outcomes in the intensive unit (ICU). Most studies nursing have focused on characteristics aggregated across ICU (eg, unit-wide nurse-to-patient ratios, education, and working environment). In contrast, relatively little work has influence individual nurses their outcomes. Such research could provide granular information needed to create evidence-based nurse assignments, where nurse's unique skills are matched each patient's needs. To date,...
OBJECTIVES: The purpose of this study was to evaluate quality and safety care in acute pediatric settings from the perspectives nurses working at bedside investigate hospital-level factors associated with more favorable safety. METHODS: Using data a large survey registered 330 hospitals, we described nurses’ assessments inpatient settings, including freestanding children’s hospitals (FCHs) (n = 21) general units 309). Multivariate logistic regression models were used estimate effects being...
The Centers for Medicare and Medicaid Services’ Pay-for-Performance (P4P) programs aim to improve hospital care through financial incentives quality patient outcomes. Magnet ® recognition—a potential pathway improving nurse work environments—is associated with better outcomes P4P program scores, but whether these indicators of higher are substantial enough avoid penalties thereby impact reimbursements is unknown. This cross-sectional study used a national sample 2,860 hospitals examine the...
Every day in intensive care units (ICUs) across the globe, critically ill patients lie side by side, facing unique circumstances and challenges struggle to survive. In these high-stakes environments, severity of a patient's condition can affect not just their own health outcomes but those neighbors adjacent beds. This complex dynamic has significant implications for nursing practice patient care, as revealed recent research we published Critical Care Medicine.1 Our study sheds light on...
Abstract Treatment decisions for patients receiving invasive mechanical ventilation (IMV) are complex and depend simultaneously on the current ventilator settings, function of multiple interrelated organ systems, other treatments. An artificial intelligence (AI)-based clinical decision support system (CDSS) offers a promising approach to alleviate uncertainty in this management provide personalized treatment recommendations. However, little is known about clinician preferences which...
To evaluate differences in hospitals' proportion of specialty certified nurses and to determine whether what extent individual nurse characteristics organisational hospital are associated with a nurse's likelihood having certification.Prior research has shown that patients hospitals high proportions have better outcomes including lower mortality fewer adverse events, yet less is known about motivates obtain certification.Cross-sectional study paediatric 119 acute care hospitals. Multivariate...