The Association of Nurse-Physician Teamwork and Mortality in Surgical Patients.
Xiao Linda KangHeather M BromKaren B LasaterMatthew D McHughPublished in: Western journal of nursing research (2019)
In this study we describe nurse-physician teamwork, estimate its association with surgical patient outcomes (30-day mortality and failure-to-rescue), and determine whether these relationships depend upon other modifiable hospital nursing characteristics (nurse staffing and education levels) known to be associated with patient outcomes. This cross-sectional analysis included linked data from 29,391 nurses representing 665 acute care hospitals and 1,321,904 adult patients who underwent a general surgical, vascular, or orthopedic procedure. Surgical patients cared for in hospitals with better nurse-physician teamwork had significantly lower odds of 30-day mortality (odds ratio [OR] = 0.95) and failure-to-rescue (OR = 0.95). In addition, the odds of death and failure-to-rescue were lower for patients in hospitals with both higher nurse-physician teamwork and more favorable patient-to-nurse staffing ratios. Similar trends were observed related to nursing education levels. Improving interprofessional teamwork is one strategy to improve patient outcomes with the added importance of also considering additional features of their nursing workforce.
Keyphrases
- primary care
- healthcare
- acute care
- emergency department
- mental health
- quality improvement
- cardiovascular events
- cross sectional
- risk factors
- ejection fraction
- end stage renal disease
- newly diagnosed
- public health
- type diabetes
- patient safety
- electronic health record
- minimally invasive
- coronary artery disease
- patient reported outcomes
- data analysis