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Deaths due to Cutbacks in Staffing
Hospital nurse staffing and patient mortality,
nurse burnout, and job dissatisfaction.
JAMA 2002 Oct 23-30;288(16):1987-93 Excess patient load for nurses associated with a 7% increase in the likelihood of death for each excess patient per nurse. GREEDOPERATING PROFIT - Mining Medicare : How One Hospital Benefited on Questionable Operations August 12, 2003 A-1; Jonathan Kirshner for The New York Times Could it possibly be that doctors at his hospital in Redding, Calif., were cracking open the chests of perfectly healthy people? Tenet Healthcare agreed to pay $54 million to the government to resolve accusations that Redding Medical doctors conducted unnecessary heart procedures and operations on hundreds of healthy patients. Until federal agents raided Redding last fall, Tenet's business model was based on maximizing the dollars it could collect from Medicare, the nation's biggest buyer of health care. And Medicare's complex formulas — the template for private insurers, as well — reward some kinds of health care more richly than others, and few more richly than cardiac care. On multiple occasions, staff cardiologists raised concerns about the heart program and asked for an independent peer review. None was undertaken. JCAHO Sentinel Event Database (2005)The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reviewed
The following root causes were identified (in decreasing order of occurrence); Organization culture Care planning Continuum of care Leadership Environmental safety / security Procedural compliance Competency/credentialing Availability of information Staffing Patient assessment Orientation/training Communication For more information, Visit the Joint Commission Web Site |
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