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Nurse to patient ratios in American health care

2004· article· en· W2088066542 on OpenAlexaff
Sharon Garretson

Bibliographic record

VenueNursing Standard · 2004
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsRichmond Hospital
Fundersnot available
KeywordsSalaryNursingMalpracticeHealth careStaffingMedicineAgency (philosophy)Patient satisfactionPatient careBusiness

Abstract

fetched live from OpenAlex

BACKGROUND: Nurses are employed in large numbers throughout health care. When their salary cost is considered as a percentage of total salary cost, they are arguably the most costly group of employees. Healthcare facilities have the potential to achieve large financial savings by reducing the number of nurses they employ. However, this may have negative consequences for staff, patients and the organisation as a whole. CONCLUSION: Research has shown that by reducing the number of nurses, patient outcomes deteriorate and length of stay increases. Curtailing nurse staffing levels can also lead to poor staff morale, nurse retention and recruitment problems and malpractice suits, which can raise costs far above the expense of employing more nurses. By reducing nurse to patient ratios, that is, by reducing the number of patients (see nurse to patient ratio box opposite), it is probable that patient care will improve along with patient satisfaction, poor morale will dissipate, fewer lawsuits will be filed and agency nurse use will decrease, all of which will help to reduce hospital costs in the long-term.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.025
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.014
Threshold uncertainty score0.047

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.025
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0030.003
Science and technology studies0.0000.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0140.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.316
Teacher spread0.292 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations30
Published2004
Admission routes1
Has abstractyes

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