Table 4

Cox proportional hazard regression of mortality regressed on patient turnover on units, and measures of low registered nurse and nursing support staffing (78 303 patients, 133 742 unique patient-unit-shift observations)

VariableHR95% CIP value
LowerUpper
Model 1: Number of shifts patient experienced with low RN staffing or high turnover
Number of low RN shifts1.0231.0111.035<0.001
Number of high turnover shifts0.9840.9551.0130.270
Model 2: Number of shifts patient experienced with low registered nurse staffing or high turnover in second to fifth days of admission
Number of low RN shifts1.0911.0591.125<0.001
Number of high turnover shifts0.9700.9241.0170.210
Model 3: Number of shifts patient experienced with low registered nurse or nursing support staffing or high turnover
Number of low RN shifts1.0271.0021.0530.035
Number of low nursing support shifts1.0301.0171.042<0.001
Number of shifts with both low RN and nursing support1.0251.0081.0430.004
Number of high turnover shifts0.9900.9621.0200.515
Model 4: Number of shifts patient experienced with low registered nurse or nursing support staffing or high turnover in second to fifth days of admission
Number of low RN shifts1.0480.9981.1000.061
Number of low nursing support-shifts1.0321.0081.0570.010
Number of shifts with both low RN and nursing support1.1361.0891.185<0.001
Number of high turnover shifts0.9760.931.0240.314
  • Results from four separate Cox proportional hazard regressions of mortality. All regressions include 78 303 patients and 453 429 unique patient-unit-day observations. All regressions include measures of patient age, gender and Charlson index score, calendar month and year.

  • RN, registered nurses.