Cost of Hospital Care for Elderly At Risk of Falling

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Executive SummaryUsing Nursing Interventions Classification (NIC) data captured in an electronic documentation system, the authors analyzed the effects of staffing, treatment, pharmacy, and nursing intervention on overall cost.While higher nurse-to-patient ratios were expected to increase costs, staffing at levels below average resulted in higher cost as well.For each 20% decline in staffing below average, the median cost of care increased by over $1, 178.On average, each additional recorded nursing intervention added $162; however, when examined individually, some interventions decreased costs.Discharge planning, fall prevention, pressure ulcer care, teaching, health screening, vital signs monitoring, and medication management were associated with less cost if done more often.With better information about the drivers of cost and outcome, more careful choices can be made in managing costs driven by medical, pharmacy, and nursing interventions.

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