Public Health
Ratios save lives, at no added cost
A US study has found that nurse-to-patient ratios not only improved patient outcomes – they did so at little financial cost to the health system.
The study, led by Dr Karen Lasater RN PHD, found that hospitals with better staffing levels recouped the added costs of staffing by having significantly lower lengths of admissions and lengths of stay.
The study analysed readmissions, mortality rates and lengths of stay for patients admitted for acute myocardial infarction, congestive heart failure, pneumonia, stroke, or sepsis at 306 American hospitals.
After accounting for differences in patient status and acuity, the researchers found a cost difference $18,848 per patient for those in hospitals with proper staffing ratios, versus a cost of $18,671 per patient at those without them. This presented an insignificant cost difference between the two cohorts.
However, hospitals without staffing ratios exhibited notably higher rates of patient mortality and readmissions. They also had lengthier hospital stays on average.
In particular, patients admitted for sepsis had a 2% greater mortality rate at understaffed hospitals compared to those who attended hospitals with safe ratios
The costs of readmissions and hospital stays thus counteracted any financial benefit derived from cutting staff.
University of Pennsylvania’s Aaron Glickman lauded the results of the study, indicating it as a reason to mandate nurse-to-patient ratios in hospitals.
“Prior literature made the quality case for better nursing clear. This study bolsters the economic case,” Glickman said.
“When hospitals invest in their nurses, patients benefit, with no net increase in costs. That’s a powerful value proposition.”
The NSW Nurses and Midwives’ Association is campaigning for safe nurse-to-patient ratios in hospitals across the state. Learn more about the campaign here.
Christine Flannery says
Yes that certainly helps the hospital system but being realistic it is more expensive in the Aged care system as
as the waiting lists of residents increases and as does their Level of Care required and therefore the cost.
Aged care needs translucency of funding and temporary visa holders allowed to work permanently to increase ratios
Foreign students were a large part of Aged care staff & now few are available.