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adverse events, care quality, nurse staffing, patient safety



  1. West, Gordon MHA, BSN, RN, Major, U.S. Army
  2. Patrician, Patricia A. PhD, RN, FAAN, Colonel, U.S. Army (ret.)
  3. Loan, Lori PhD, RNC, FAAN


Overview: Data from the Military Nursing Outcomes Database (MilNOD) project demonstrate that inadequately staffed shifts can increase the likelihood of adverse events, such as falls with injury, medication errors, and needlestick injuries to nurses. Such evidence can be used to show that it takes not only the right number of nursing staff on every shift to ensure safe patient care, but also the right mix of expertise and experience. Based on findings from the MilNOD project, the authors present realistic scenarios of common dilemmas hospitals face in nurse staffing, illustrating the potential hazards for patients and nurses alike.