Associations of safe nurse staffing coverage and care complexity factors with nursing-sensitive adverse events in cardiac inpatients: a cross-sectional multicenter study - Scorecard - MDSpire
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Associations of safe nurse staffing coverage and care complexity factors with nursing-sensitive adverse events in cardiac inpatients: a cross-sectional multicenter study
Clinical Scorecard: Impact of Adequate Nurse Staffing and Care Complexity on Nursing-Sensitive Adverse Events in Cardiac Patients: A Cross-Sectional Study Across Multiple Centers
At a Glance
Category
Detail
Condition
Key Mechanisms
Association between nurse staffing levels and adverse events, with care complexity factors noted.
Target Population
Care Setting
Key Highlights
11.4% of patients experienced nursing-sensitive adverse events (AEs)
Acute pulmonary edema (APE) was the most common AE, present in 5% of cases
Mean nurse staffing coverage was 64.3%
Risk factors for AEs included old age, consciousness disorders, chronic disease, hemodynamic instability, and transmissible infection
Guideline-Based Recommendations
Diagnosis
Monitor for nursing-sensitive adverse events in cardiac patients
Management
Ensure safe nurse staffing coverage to reduce adverse events
Monitoring & Follow-up
Track nurse staffing levels and patient acuity using the ATIC classification system
Risks
Identify patients at higher risk for AEs based on age, comorbidities, and consciousness disorders
Patient & Prescribing Data
Study indicates correlation between higher nurse staffing coverage and lower incidence of adverse events.
Clinical Best Practices
Achieve 6lt;90% of required nurse hours per patient day (NHPPD) for safe staffing
Utilize the ATIC patient classification system for assessing patient acuity
