The Impact of the 23-Hour Patient on Nursing Workload

Decreasing length of in-patient stay and increasing the number of outpatient procedures being performed has led to the creation of the 23/24-hour observation patient. In this study, the authors show that the addition of observation patients to aggregate workload data causes a meaningful staffing def...

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Bibliographic Details
Published in:The Journal of nursing administration 1990-11, Vol.20 (11), p.47-52
Main Authors: Kumarich, Diana, Biordi, Diana Luskin, Milazzo-Chornick, Nancy
Format: Article
Language:English
Subjects:
Ambulatory Care
Humans
Length of Stay
Nursing
Nursing Care
Nursing Staff, Hospital - organization & administration
Patient Admission
Patients - classification
Personnel Staffing and Scheduling
Task Performance and Analysis
United States
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Summary:Decreasing length of in-patient stay and increasing the number of outpatient procedures being performed has led to the creation of the 23/24-hour observation patient. In this study, the authors show that the addition of observation patients to aggregate workload data causes a meaningful staffing deficit 60–90% of the time in three out of four clinical areas studied. The authors explore the statistical impact on staffing of the addition of observation patients to aggregate inpatient data and provide several strategies for staffing.
ISSN:0002-0443
1539-0721
DOI:10.1097/00005110-199011000-00009