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- Title
Impact of nurse staffing mandates on safety-net hospitals: lessons from California.
- Authors
McHugh, Matthew D; Brooks Carthon, Margo; Sloane, Douglas M; Wu, Evan; Kelly, Lesly; Aiken, Linda H
- Abstract
California is the first and only state to implement a patient-to-nurse ratio mandate for hospitals. Increasing nurse staffing is an important organizational intervention for improving patient outcomes. Evidence suggests that staffing improved in California hospitals after the mandate was enacted, but the outcome for hospitals bearing a disproportionate share of uncompensated care-safety-net hospitals-remains unclear. One concern was that California's mandate would burden safety-net hospitals without improving staffing or that hospitals would reduce their skill mix, that is, the proportion of registered nurses of all nursing staff. We examined the differential effect of California's staffing mandate on safety-net and non-safety-net hospitals.
- Publication
The Milbank quarterly, 2012, Vol 90, Issue 1, p160
- ISSN
1468-0009
- Publication type
Journal Article
- DOI
10.1111/j.1468-0009.2011.00658.x