Do Hospital and Market Factors Influence Nurse Staffing and Quality of Care for Acute Myocardial Inf

1
Do Hospital and Market Factors Influence Nurse
Staffing and Quality of Care for Acute Myocardial
Infarction Patients?
Julie Sochalski, Ph.D., RN R. Tamara Konetzka,
Ph.D. Jingsan Zhu, MBA Kevin Volpp, M.D.,
Ph.D. University of Pennsylvania,
Philadelphia, PA University of Chicago,
Chicago, IL
Fig 3 Effect of RN staffing on AMI mortality
Fig 1 CMI-adjusted RN hours/patient day
among hospitals with low/high baseline RN staffing
p lt0.1 p lt .05 p lt .01

• Hospitals with lower baseline RN staffing levels
  see greatest growth in staffing over time,
  narrowing but not closing the gap between
  themselves and higher staffed hospitals.
• For profit hospitals and urban hospitals more
  likely to have lower baseline RN staffing levels.
  

Fig 2 30-day AMI mortality rates, 1983-2001
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