Complexity of nursing care at 24 h from admission predicts in-hospital mortality in medical units: a cohort study

Complexity of nursing care at 24 h from admission predicts in-hospital mortality in medical units: a cohort study

The Informative System of Nursing Performance was developed to measure complexity of nursing care based on the actual interventions performed by nurses at the point of care. The association of this score with in-hospital mortality was not investigated before. Having this information is relevant to d...

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Bibliographic Details
Published in:BMC health services research 2020-03, Vol.20 (1), p.181-181, Article 181
Main Authors: Ausili, Davide, Bernasconi, Davide Paolo, Rebora, Paola, Prestini, Lucia, Beretta, Giorgio, Ferraioli, Laura, Cazzaniga, Anna, Valsecchi, Maria Grazia, Di Mauro, Stefania
Format: Article
Language:eng
Subjects:
Care and treatment
Comorbidity
Health services research
Hospital admission and discharge
Hospital information systems
Hospital medicine
Hospital patients
Hospitals
Italy
Medical research
Mortality
Nurse staffing
Nursing
Nursing care
Nursing research
Patient outcomes
Patient safety
Patient-centered care
Quality of health care
Risk factors
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Summary:The Informative System of Nursing Performance was developed to measure complexity of nursing care based on the actual interventions performed by nurses at the point of care. The association of this score with in-hospital mortality was not investigated before. Having this information is relevant to define evidence-based criteria that hospital administrators can use to allocate nursing workforce according to the real and current patients' need for nursing care. The aim of this study is to assess the association between complexity of nursing care and in-hospital mortality. Register-based cohort study on all patients admitted to acute medical wards of a middle-large hospital in the North of Italy between January 1, 2014, to December 31, 2015 and followed up to discharge. Out of all the eligible 7247 records identified in the Hospital Discharge Register, 6872 records from 5129 patients have been included. A multivariable frailty Cox model was adopted to estimate the association between the Informative System of Nursing Performance score, both as continuous variable and dichotomized as low (score 
ISSN:1472-6963
1472-6963