The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin

Steven L. Clark, George Saade, Janet A. Meyers, Donna R. Frye, Jonathan B. Perlin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective To examine the relationship between nurse-to-patient staffing ratios and perinatal outcomes in women receiving oxytocin during labor. Study Design A retrospective analysis of perinatal outcomes in women receiving oxytocin for induction or augmentation of labor during 2010. Outcomes examined were fetal distress, birth asphyxia, primary cesarean delivery, chorioamnionitis, endomyometritis, and a composite of adverse events. Frequency of 1:1 nurse-to-patient staffing was determined for each hospital. Outcomes were compared between hospitals categorized into quartiles of staffing ratios. Results In 208,033 women delivering during 2010, there was no relation between frequency of 1:1 nurse-to-patient staffing ratio and improved perinatal outcomes. Adoption of universal 1:1 staffing in the United States would result in the need for an additional 27,000 labor nurses and a cost of $1.6 billion. Conclusion Available data do not support the imposition of mandatory 1:1 nurse-to-patient staffing ratios for women receiving oxytocin in all U.S. facilities.

Original languageEnglish (US)
Pages (from-to)119-124
Number of pages6
JournalAmerican Journal of Perinatology
Volume31
Issue number2
DOIs
StatePublished - Feb 2014

Fingerprint

Oxytocin
Nurses
Economics
Chorioamnionitis
Endometritis
Fetal Distress
Asphyxia
Parturition
Costs and Cost Analysis

Keywords

  • nurse staffing
  • oxytocin
  • patient safety

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin. / Clark, Steven L.; Saade, George; Meyers, Janet A.; Frye, Donna R.; Perlin, Jonathan B.

In: American Journal of Perinatology, Vol. 31, No. 2, 02.2014, p. 119-124.

Research output: Contribution to journalArticle

Clark, Steven L. ; Saade, George ; Meyers, Janet A. ; Frye, Donna R. ; Perlin, Jonathan B. / The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin. In: American Journal of Perinatology. 2014 ; Vol. 31, No. 2. pp. 119-124.
@article{0a3183dd2eeb44ea8fe5e1493ec8e25a,
title = "The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin",
abstract = "Objective To examine the relationship between nurse-to-patient staffing ratios and perinatal outcomes in women receiving oxytocin during labor. Study Design A retrospective analysis of perinatal outcomes in women receiving oxytocin for induction or augmentation of labor during 2010. Outcomes examined were fetal distress, birth asphyxia, primary cesarean delivery, chorioamnionitis, endomyometritis, and a composite of adverse events. Frequency of 1:1 nurse-to-patient staffing was determined for each hospital. Outcomes were compared between hospitals categorized into quartiles of staffing ratios. Results In 208,033 women delivering during 2010, there was no relation between frequency of 1:1 nurse-to-patient staffing ratio and improved perinatal outcomes. Adoption of universal 1:1 staffing in the United States would result in the need for an additional 27,000 labor nurses and a cost of $1.6 billion. Conclusion Available data do not support the imposition of mandatory 1:1 nurse-to-patient staffing ratios for women receiving oxytocin in all U.S. facilities.",
keywords = "nurse staffing, oxytocin, patient safety",
author = "Clark, {Steven L.} and George Saade and Meyers, {Janet A.} and Frye, {Donna R.} and Perlin, {Jonathan B.}",
year = "2014",
month = "2",
doi = "10.1055/s-0033-1338175",
language = "English (US)",
volume = "31",
pages = "119--124",
journal = "American Journal of Perinatology",
issn = "0735-1631",
publisher = "Thieme Medical Publishers",
number = "2",

}

TY - JOUR

T1 - The clinical and economic impact of nurse to patient staffing ratios in women receiving intrapartum oxytocin

AU - Clark, Steven L.

AU - Saade, George

AU - Meyers, Janet A.

AU - Frye, Donna R.

AU - Perlin, Jonathan B.

PY - 2014/2

Y1 - 2014/2

N2 - Objective To examine the relationship between nurse-to-patient staffing ratios and perinatal outcomes in women receiving oxytocin during labor. Study Design A retrospective analysis of perinatal outcomes in women receiving oxytocin for induction or augmentation of labor during 2010. Outcomes examined were fetal distress, birth asphyxia, primary cesarean delivery, chorioamnionitis, endomyometritis, and a composite of adverse events. Frequency of 1:1 nurse-to-patient staffing was determined for each hospital. Outcomes were compared between hospitals categorized into quartiles of staffing ratios. Results In 208,033 women delivering during 2010, there was no relation between frequency of 1:1 nurse-to-patient staffing ratio and improved perinatal outcomes. Adoption of universal 1:1 staffing in the United States would result in the need for an additional 27,000 labor nurses and a cost of $1.6 billion. Conclusion Available data do not support the imposition of mandatory 1:1 nurse-to-patient staffing ratios for women receiving oxytocin in all U.S. facilities.

AB - Objective To examine the relationship between nurse-to-patient staffing ratios and perinatal outcomes in women receiving oxytocin during labor. Study Design A retrospective analysis of perinatal outcomes in women receiving oxytocin for induction or augmentation of labor during 2010. Outcomes examined were fetal distress, birth asphyxia, primary cesarean delivery, chorioamnionitis, endomyometritis, and a composite of adverse events. Frequency of 1:1 nurse-to-patient staffing was determined for each hospital. Outcomes were compared between hospitals categorized into quartiles of staffing ratios. Results In 208,033 women delivering during 2010, there was no relation between frequency of 1:1 nurse-to-patient staffing ratio and improved perinatal outcomes. Adoption of universal 1:1 staffing in the United States would result in the need for an additional 27,000 labor nurses and a cost of $1.6 billion. Conclusion Available data do not support the imposition of mandatory 1:1 nurse-to-patient staffing ratios for women receiving oxytocin in all U.S. facilities.

KW - nurse staffing

KW - oxytocin

KW - patient safety

UR - http://www.scopus.com/inward/record.url?scp=84893642680&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84893642680&partnerID=8YFLogxK

U2 - 10.1055/s-0033-1338175

DO - 10.1055/s-0033-1338175

M3 - Article

C2 - 23508699

AN - SCOPUS:84893642680

VL - 31

SP - 119

EP - 124

JO - American Journal of Perinatology

JF - American Journal of Perinatology

SN - 0735-1631

IS - 2

ER -