Study: Increased RN hours per patient day were associated with higher quality

Reviewed by the Robert Wood Johnson Foundation:  More RN hours means bettter quality care

The Interdisciplinary Nursing Quality Research Initiative (INQRI) program has supported interdisciplinary teams that involved nursing scholars and scholars from other disciplines in research projects—from the conceptual study design to the adoption in practice of new measures of standards of care.

This research brief estimates the impact of nurse staffing on hospital performance improvement in the Centers for Medicare and Medicaid (CMS)/Premier Hospital Quality Incentive Demonstration (HQID) project.

Key Findings

  • Increased registered nurse (RN) hours per patient day were associated with higher quality.
  • Across models, there were no consistent patterns related to the impact of licensed practical nurse (LPN) and nursing assistant (NA) hours on quality.
  • The results suggest that RNs affect the care processes that are related to quality outcomes. The research team also acknowledges that many other factors also affect these care processes but that available data did not allow for identification of those factors.

Download study here:


Patient Story

arlene townsend staffing award

Unsafe staffing costs a Florida facility $1 billion

From Trial Magazine, March 2014 issue: Trial Magazine, 3/11/14 VERDICTS & SETTLEMENTS Arlene Townsend, 63 suffered a stroke and required 24-hour care. She was admitted to Auburndale Oaks Healthcare Center, a nursing home owned by Trans Healthcare, Inc. In the three years leading up to her death, Townsend suffered numerous fall resulting in broken bones and lacerations, infections, significant weight loss, chronic constipation, skin breakdowns, dehydration, and other problems. She is survived by her adult son. Townsend’s estate sued Trans Healthcare, alleging that it had understaffed the nursing home to increase profits and failed to provide adequate care, including protecting Townsend from falls, ensuring a safe environment, and documenting changes to her condition. The court entered a judgment of liability against the defendant, and the…
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