Table 2.
All patients | Medical units | Surgical units | Med‐Surg units | Step‐down units | |
---|---|---|---|---|---|
n = 89,724 patient episodes | n = 26,221 patient episodes | n = 41,596 patient episodes | n = 36,797 patient episodes | n = 6,548 patient episodes | |
Ward structure | |||||
Units_N | 132 | 37 | 35 | 37 | 23 |
Beds_N | 3,024 | 929 | 884 | 1,053 | 158 |
Patient days a _N | 589,718 | 190,732 | 166,657 | 206,194 | 2,488 |
Patient features | |||||
Age > 70_% | 46 | 52.6 | 39.4 | 48.5 | 49.1 |
Female gender_% | 48.5 | 43.0 | 45.8 | 40.2 | 34.9 |
Length of stay_mean | 5.5 | 7.4 | 4.0 | 6.5 | 3.7 |
Hi‐tech hospital_% | 60.0 | 68.9 | 76.5 | 63.9 | 81.5 |
Reason for admission | |||||
Cardiocirculatory_% | 14.8 | 18.4 | 8.0 | 18.6 | 36.3 |
Infections_% | 13.5 | 24.0 | 10.7 | 14.3 | 3.6 |
Trauma and orthopaedics_% | 12.1 | 1.4 | 19.2 | 16.2 | 1.8 |
General surgery_% | 11.3 | 10.4 | 15.4 | 7.6 | 2.2 |
Digestive_% | 10.4 | 9.2 | 13.3 | 8.6 | 8.0 |
Nervous system_% | 8.3 | 9.5 | 3.5 | 10.3 | 38.8 |
Kidney and urinary_% | 6.7 | 3.3 | 9.5 | 9.2 | 3.8 |
Respiratory_% | 6.7 | 9.8 | 3.9 | 7.4 | 1.8 |
Reproductive_% | 3.7 | 0.3 | 5.6 | 0.4 | 0.2 |
Head and neck_% | 2.8 | 0.3 | 5.7 | 1.9 | 0.2 |
Haematologic and immunologic_% | 2.0 | 8.9 | 1.4 | 3.3 | 2.1 |
Nutritional and Metabolic_% | 1.5 | 1.6 | 2.4 | 0.8 | 0.9 |
Skin and burns_% | 1.0 | 0.2 | 0.4 | 1.3 | 0.1 |
Psychiatric, mental health and addictions_% | 0.8 | 2.4 | 0.1 | 0.1 | 0.1 |
Eye_% | 0.5 | 0.2 | 0.7 | 0.1 | 0.01 |
Patient acuity | |||||
Acute (3 rNHPPD)_% | 16.0 | 5.3 | 33.3 | 17 | 5.2 |
Intensification (4 rNHPPD)_% | 26.7 | 22.1 | 31.9 | 29.3 | 15.7 |
Intermediate (6 rNHPPD)_% | 42.0 | 50.5 | 27.4 | 38.8 | 60 |
Preintensive (8 rNHPPD)_% | 14.4 | 20.3 | 6.9 | 14.1 | 17.9 |
Intensive (12 rNHPPD)_% | 0.6 | 0.7 | 0.6 | 0.5 | 0.7 |
Superintensive (>13 rNHPPD)_% | 0.3 | 0.3 | 0.1 | 0.2 | 0.5 |
Staffing measures | |||||
aNHPPD_mean | 3.0 | 2.5 | 2.4 | 2.5 | 5.8 |
rNHPPD_mean | 5.5 | 6 | 4.6 | 5.4 | 6 |
Balance | −2.5 | −3.5 | −2.2 | −2.9 | −0.2 |
Nurse staffing coverage_% | 57.7 | 44.6 | 55.3 | 46.8 | 99.2 |
Abbreviations: Med‐Surg Units, combined medical–surgical wards; aNHHPD, available RN hours per patient day; rNHPPD, required RN hours per patient day.
Patient days_ accumulated patient days for the period of the study.