Hospital Nurse Staffing and Quality of Care

This report summarizes the findings of Agency for Healthcare Research and Quality-funded
projects and other research on the relationship of nurse staffing levels to adverse patient
outcomes. This information can be used by decision makers to make more informed choices in
terms of adjusting nurse staffing levels and increasing nurse recruitment while optimizing quality
of care and improving nurse satisfaction.

Achieving Efficiency: Lessons from Four Top-Performing Hospitals

This report from the Commonwealth Fund presents case studies of four of the 13 Leapfrog
Group-designated “Highest Value Hospitals” that offer strategies that may help hospital and
health system leaders achieve greater efficiency. During site visits conducted in 2010, hospital
leaders and staff were asked about the activities they credit with having contributed to high
quality and low resource use. Managing staffing and adjusting roles to reduce or improve
handoffs and promote teamwork to meet patient needs was cited as a way to increase efficiency.


PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.