Using Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency Department"/> Using Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency Department"/> Using Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency Department (bibtex)
Using Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency Department (bibtex)
by Philip L. Henneman, Seung Yeob Shin, Yuriy Brun, Hari Balasubramanian, Fidela Blank and Leon J. Osterweil
Abstract:

Objective: To study the impact of nurse-to-patient ratios on patient length of stay (LOS) in computer simulations of Emergency Department (ED) care.

Methods: Multiple 24-hour computer simulations of emergency care were used to evaluate the impact of different minimum nurse-to-patient ratios related to ED LOS, which is composed of wait (arrival to bed placement) and bedtime (bed placement to leave bed).

Results: Increasing the number of patients per nurse resulted in increased ED LOS. Mean bedtimes in minutes were impacted by nurse-to-patient ratios.

Conclusions: In computer simulation of ED care, increasing the number of patients per nurse resulted in increasing delays in care (i.e., increasing bedtime).

Citation:
Philip L. Henneman, Seung Yeob Shin, Yuriy Brun, Hari Balasubramanian, Fidela Blank, and Leon J. Osterweil, Using Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency Department, The Journal of Nursing Administration, vol. 45, no. 11, November 2015, pp. 551–556.
Bibtex Entry:
@article{Henneman15jona,
  author = {Philip L. Henneman and {Seung Yeob} Shin and Yuriy Brun and Hari
  Balasubramanian and Fidela Blank and Leon J. Osterweil},
  title =
  {Using
  Computer Simulation to Study Nurse-to-Patient Ratios in an Emergency
  Department},
  journal = {The Journal of Nursing Administration},
  venue = {JoNA},
  year = {2015},
  volume = {45},
  number = {11},
  month = {November},
  pages = {551--556},
  doi = {10.1097/NNA.0000000000000262},
  note = {DOI:
  10.1097/NNA.0000000000000262},

  abstract = {<strong>Objective</strong>: To study the impact of
  nurse-to-patient ratios on patient length of stay (LOS) in computer
  simulations of Emergency Department (ED) care.
  <strong>Methods</strong>: Multiple 24-hour computer simulations of
  emergency care were used to evaluate the impact of different minimum
  nurse-to-patient ratios related to ED LOS, which is composed of wait
  (arrival to bed placement) and bedtime (bed placement to leave bed).
  <strong>Results</strong>: Increasing the number of patients per nurse
  resulted in increased ED LOS. Mean bedtimes in minutes were impacted by
  nurse-to-patient ratios.
  <strong>Conclusions</strong>: In computer simulation of ED care,
  increasing the number of patients per nurse resulted in increasing delays
  in care (i.e., increasing bedtime).},

  fundedBy = {NSF IIS-1239334, NSF CNS-1258588, NIST 60NANB13D165},
}
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