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Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?

OBJECTIVE: This study aims to investigate the relationship between RNs and hospital-based medical specialties staffing levels with inpatient COVID-19 mortality rates. METHODS: We relied on data from AHA Annual Survey Database, Area Health Resource File, and UnitedHealth Group Clinical Discovery Data...

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Autores principales: Al-Amin, Mona, Islam, Md. Nazmul, Li, Kate, Shiels, Natalie, Buresh, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581383/
https://www.ncbi.nlm.nih.gov/pubmed/36260606
http://dx.doi.org/10.1371/journal.pone.0275500
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author Al-Amin, Mona
Islam, Md. Nazmul
Li, Kate
Shiels, Natalie
Buresh, John
author_facet Al-Amin, Mona
Islam, Md. Nazmul
Li, Kate
Shiels, Natalie
Buresh, John
author_sort Al-Amin, Mona
collection PubMed
description OBJECTIVE: This study aims to investigate the relationship between RNs and hospital-based medical specialties staffing levels with inpatient COVID-19 mortality rates. METHODS: We relied on data from AHA Annual Survey Database, Area Health Resource File, and UnitedHealth Group Clinical Discovery Database. In phase 1 of the analysis, we estimated the risk-standardized event rates (RSERs) based on 95,915 patients in the UnitedHealth Group Database 1,398 hospitals. We then used beta regression to analyze the association between hospital- and county- level factors with risk-standardized inpatient COVID-19 mortality rates from March 1, 2020, through December 31, 2020. RESULTS: Higher staffing levels of RNs and emergency medicine physicians were associated with lower COVID-19 mortality rates. Moreover, larger teaching hospitals located in urban settings had higher COVID-19 mortality rates. Finally, counties with greater social vulnerability, specifically in terms of housing type and transportation, and those with high infection rates had the worst patient mortality rates. CONCLUSION: Higher staffing levels are associated with lower inpatient mortality rates for COVID-19 patients. More research is needed to determine appropriate staffing levels and how staffing levels interact with other factors such as teams, leadership, and culture to impact patient care during pandemics.
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spelling pubmed-95813832022-10-20 Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates? Al-Amin, Mona Islam, Md. Nazmul Li, Kate Shiels, Natalie Buresh, John PLoS One Research Article OBJECTIVE: This study aims to investigate the relationship between RNs and hospital-based medical specialties staffing levels with inpatient COVID-19 mortality rates. METHODS: We relied on data from AHA Annual Survey Database, Area Health Resource File, and UnitedHealth Group Clinical Discovery Database. In phase 1 of the analysis, we estimated the risk-standardized event rates (RSERs) based on 95,915 patients in the UnitedHealth Group Database 1,398 hospitals. We then used beta regression to analyze the association between hospital- and county- level factors with risk-standardized inpatient COVID-19 mortality rates from March 1, 2020, through December 31, 2020. RESULTS: Higher staffing levels of RNs and emergency medicine physicians were associated with lower COVID-19 mortality rates. Moreover, larger teaching hospitals located in urban settings had higher COVID-19 mortality rates. Finally, counties with greater social vulnerability, specifically in terms of housing type and transportation, and those with high infection rates had the worst patient mortality rates. CONCLUSION: Higher staffing levels are associated with lower inpatient mortality rates for COVID-19 patients. More research is needed to determine appropriate staffing levels and how staffing levels interact with other factors such as teams, leadership, and culture to impact patient care during pandemics. Public Library of Science 2022-10-19 /pmc/articles/PMC9581383/ /pubmed/36260606 http://dx.doi.org/10.1371/journal.pone.0275500 Text en © 2022 Al-Amin et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Al-Amin, Mona
Islam, Md. Nazmul
Li, Kate
Shiels, Natalie
Buresh, John
Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title_full Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title_fullStr Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title_full_unstemmed Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title_short Is there an association between hospital staffing levels and inpatient-COVID-19 mortality rates?
title_sort is there an association between hospital staffing levels and inpatient-covid-19 mortality rates?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9581383/
https://www.ncbi.nlm.nih.gov/pubmed/36260606
http://dx.doi.org/10.1371/journal.pone.0275500
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