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Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries

OBJECTIVES: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD). METHODS: The number of practicing nurses’ density per 1000 population and five surgical complicat...

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Autores principales: Amiri, Arshia, Solankallio-Vahteri, Tytti, Tuomi, Sirpa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese Nursing Association 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722466/
https://www.ncbi.nlm.nih.gov/pubmed/31508441
http://dx.doi.org/10.1016/j.ijnss.2019.05.003
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author Amiri, Arshia
Solankallio-Vahteri, Tytti
Tuomi, Sirpa
author_facet Amiri, Arshia
Solankallio-Vahteri, Tytti
Tuomi, Sirpa
author_sort Amiri, Arshia
collection PubMed
description OBJECTIVES: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD). METHODS: The number of practicing nurses’ density per 1000 population and five surgical complications indicators including foreign body left in during procedure (FBL), postoperative pulmonary embolism (PPE) and deep vein thrombosis (DVT) after hip and knee replacement, postoperative sepsis after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were collected in crude rates per 100,000 hospital discharges for age group of 15 years old and over within 30 days after surgery based on surgical admission-related and all admission-related methods. The observations of 21 OECD countries were collected from OECD Health Statistics during 2010-2015 period. The statistical technique of panel data analysis including unit root test, co-integration test and dynamic long-run analysis were used to estimate the possible relationship between our panel series. RESULTS: There were significant relationships from nurse-staffing level to reducing FBL, PPE, DVT, PSA and PWD with long-run magnitudes of −2.91, −1.30, −1.69, −2.81 and −1.12 based on surgical admission method as well as −6.12, −14.57, −7.29, −1.41 and −0.88 based on all admission method, respectively. CONCLUSIONS: A higher proportion of nurses is associated with higher patient safety resulting from lower surgical complications and adverse clinical outcomes in OECD countries. Hence, we alert policy makers about the risk of underestimating the impact of nurses on improving patient safety as well as the quality of health care services in OECD countries.
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spelling pubmed-67224662019-09-10 Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries Amiri, Arshia Solankallio-Vahteri, Tytti Tuomi, Sirpa Int J Nurs Sci Original Article OBJECTIVES: To analyze the role of nurse staffing in improving patient safety due to reducing surgical complications in member countries of Organization for Economic Co-operation and Development (OECD). METHODS: The number of practicing nurses’ density per 1000 population and five surgical complications indicators including foreign body left in during procedure (FBL), postoperative pulmonary embolism (PPE) and deep vein thrombosis (DVT) after hip and knee replacement, postoperative sepsis after abdominal surgery (PSA) and postoperative wound dehiscence (PWD) were collected in crude rates per 100,000 hospital discharges for age group of 15 years old and over within 30 days after surgery based on surgical admission-related and all admission-related methods. The observations of 21 OECD countries were collected from OECD Health Statistics during 2010-2015 period. The statistical technique of panel data analysis including unit root test, co-integration test and dynamic long-run analysis were used to estimate the possible relationship between our panel series. RESULTS: There were significant relationships from nurse-staffing level to reducing FBL, PPE, DVT, PSA and PWD with long-run magnitudes of −2.91, −1.30, −1.69, −2.81 and −1.12 based on surgical admission method as well as −6.12, −14.57, −7.29, −1.41 and −0.88 based on all admission method, respectively. CONCLUSIONS: A higher proportion of nurses is associated with higher patient safety resulting from lower surgical complications and adverse clinical outcomes in OECD countries. Hence, we alert policy makers about the risk of underestimating the impact of nurses on improving patient safety as well as the quality of health care services in OECD countries. Chinese Nursing Association 2019-05-23 /pmc/articles/PMC6722466/ /pubmed/31508441 http://dx.doi.org/10.1016/j.ijnss.2019.05.003 Text en © 2019 Chinese Nursing Association. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Amiri, Arshia
Solankallio-Vahteri, Tytti
Tuomi, Sirpa
Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title_full Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title_fullStr Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title_full_unstemmed Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title_short Role of nurses in improving patient safety: Evidence from surgical complications in 21 countries
title_sort role of nurses in improving patient safety: evidence from surgical complications in 21 countries
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722466/
https://www.ncbi.nlm.nih.gov/pubmed/31508441
http://dx.doi.org/10.1016/j.ijnss.2019.05.003
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