Outcome: patient death | |||
OR | 95% CI | P value | |
Fill-rate (ppt) for all staff | 0.9934 | 0.9794 to 1.0076 | 0.3605 |
Fill-rate (ppt) for: | |||
Healthcare support workers (HCSWs) | 1.0029 | 0.9964 to 1.0095 | 0.3748 |
Registered nurses (RNs) | 0.9883 | 0.9773 to 0.9996 | 0.0416 |
Share (ppt) of rostered hours for HCSWs worked by: | |||
Local/Regular | 1.0028 | 0.9961 to 1.0095 | 0.4167 |
Bank | 1.0030 | 0.9963 to 1.0097 | 0.3834 |
Agency | 1.0021 | 0.9907 to 1.0137 | 0.7208 |
Share (ppt) of rostered hours for RNs worked by: | |||
Local/Regular | 0.9875 | 0.9757 to 0.9994 | 0.0389 |
Bank | 0.9861 | 0.9729 to 0.9995 | 0.0427 |
Agency | 0.9913 | 0.9797 to 1.0031 | 0.1464 |
Share (ppt) of rostered hours for RNs worked by: | |||
Band 5 | 0.9893 | 0.9771 to 1.0017 | 0.0907 |
Band 6 | 0.9845 | 0.9714 to 0.9977 | 0.0214 |
Bands 7 and 8 | 0.9760 | 0.9551 to 0.9973 | 0.0275 |
Results listed are from five separate conditional logistic regression models, each with ward fixed effects. Unit of analysis is the hospital ward-day (n=19 287). HCSWs, defined as those in NHS pay bands 2–4. RNs, defined as those in NHS pay band 5 and above. 95% CI, with SEs clustered at the hospital ward level. All models also control for the mean patient age; the patient age squared; the sex and ethnicity mix of patients; the mean Elixhauser Comorbidity Index; pairwise-interaction terms between mean age, sex, ethnicity and Elixhauser Comorbidity Index; the mean hospital length of stay of patients treated in the ward that day; the number of patients treated in the ward that day; a dummy for each day of the week; a dummy for month of the year and a dummy indicating whether the day was a bank holiday. Fill-rate is defined as the number of actual hours worked divided by the number of planned (rostered) hours. The fill-rate for healthcare support workers and registered nurses is calculated relative to the planned hours for staff of that type.
NHS, National Health Service; ppt, percentage point.