Influence of Hospital Context on Cost and Length of Stay Following Cardiac Catheterization


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Abstract

Executive SummaryIn a population of patients admitted for cardiac catheterization, organizational and work group characteristics were more predictive of patient outcomes and cost than were patient-specific variables.The study results support careful consideration of nurse perceptions of the work environment given their accuracy in predicting cost variables.Specifically, nurse perceptions of “access to information, support and resources, and opportunities for growth,” were predictive of organizational efficiency.Consistent with previous studies, staffing levels alone were not predictive of patient outcomes; rather, the structures and processes supporting care delivery were more influential (and controllable) variables.Efforts to improve work group effectiveness through building teams and improving communication processes are likely to improve both patient outcomes and organizational efficiency.

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