The association between multi-disciplinary staffing levels and mortality in acute hospitals: a systematic review - Human Resources for Health

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The association between multi-disciplinary staffing levels and mortality in acute hospitals: a systematic review - Human Resources for Health
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A Review in Human Resources for Health finds that hospitals with more physicians and registered nurses is associated with lower patient mortality while those with higher levels of nursing assistants is associated with higher mortality.

Most studies used data from large patient samples from multiple hospitals across several years, but analyses were often cross-sectional, and associations measured at the hospital level, whereby staffing over one year was averaged and related to the average mortality rate for that same year.

In recent years, the evidence base around nurse staffing levels has advanced substantially thanks to longitudinal studies analysing routinely collected data, which allow exploration of associations at the ward level or even at the patient level []. Nonetheless, the availability and quality of such data for other staff groups is currently unknown. Future studies using data extracted from nursing rosters should simultaneously explore the availability of roster data of other staff groups.

Rocks S, Boccarini G, Charlesworth A, Idriss O, McConkey R, Rachet-Jacquet L. Health and social care funding projections. 2021. The Health Foundation; 2021.World Health Organization. The 2022 update. Geneva: Global Health Workforce Statistics; 2022.

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