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"/>
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).
@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},
}