The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Nurse Staffing In Hospitals: Is There A Business Case For Quality?
Abstract
We construct national estimates of the cost of increasing hospital nurse staffing and associated reductions in days, deaths, and adverse outcomes. Raising the proportion of nursing hours provided by registered nurses (RNs) without increasing total nursing hours is associated with a net reduction in costs. Increasing nursing hours, with or without increasing the proportion of hours provided by RNs, reduces days, adverse outcomes, and patient deaths, but with a net increase in hospital costs of 1.5 percent or less at the staffing levels modeled. Whether or not staffing should be increased depends on the value patients and payers assign to avoided deaths and complications.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226
Nurse-Staffing Levels and the Quality of Care in Hospitals
Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K. (2002) · New England Journal of Medicine · doi:10.1056/nejmsa012247 · Cited by 2,241
Self-citationThe value of risks to life and health
Viscusi, W. K. (1993) · Cited by 1,110
Pronovost, P. J. (1999) · JAMA · doi:10.1001/jama.281.14.1310 · Cited by 688
Mitchell, P. H., Ferketich, S., Jennings, B. M., & American Academy of Nursing Expert Panel on Quality Health Care (1998) · Image: the Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.1998.tb01234.x · Cited by 444
The Business Case For Quality: Case Studies And An Analysis
Leatherman, S., Berwick, D., Iles, D., Lewin, L. S., Davidoff, F., Nolan, T., & Bisognano, M. (2003) · Health Affairs · doi:10.1377/hlthaff.22.2.17 · Cited by 365
Improving Patient Safety — Five Years after the IOM Report
Altman, D. E., Clancy, C., & Blendon, R. J. (2004) · New England Journal of Medicine · doi:10.1056/nejmp048243 · Cited by 233
A Longitudinal Examination of Hospital Registered Nurse Staffing and Quality of Care
Mark, B. A., Harless, D. W., McCue, M., & Xu, Y. (2004) · Health Services Research · doi:10.1111/j.1475-6773.2004.00228.x · Cited by 230
Jones, C. B. (1990) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-199004000-00005 · Cited by 63
Cited by
Nurse Staffing and Inpatient Hospital Mortality
Needleman, J., Buerhaus, P., Pankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1001025 · Cited by 942
Self-citationNurse forecasting in Europe (RN4CAST): Rationale, design and methodology
Sermeus, W., Aiken, L. H., Van den Heede, K., Rafferty, A. M., Griffiths, P., Moreno-Casbas, M. T., Busse, R., Lindqvist, R., Scott, A. P., Bruyneel, L., et al. (2011) · BMC Nursing · doi:10.1186/1472-6955-10-6 · Cited by 398
(2012) · JONA: The Journal of Nursing Administration · doi:10.1097/01.nna.0000420390.87789.67 · Cited by 386
Chronic hospital nurse understaffing meets COVID-19: an observational study
Lasater, K. B., Aiken, L. H., Sloane, D. M., French, R., Martin, B., Reneau, K., Alexander, M., & McHugh, M. D. (2021) · BMJ Quality & Safety · doi:10.1136/bmjqs-2020-011512 · Cited by 312
Revisiting Nurse Turnover Costs: Adjusting for Inflation
Jones, C. B. (2008) · JONA: The Journal of Nursing Administration · doi:10.1097/01.nna.0000295636.03216.6f · Cited by 289
Metadata
- Authors
- Needleman, J., Buerhaus, P. I., Stewart, M., Zelevinsky, K., & Mattke, S.
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2006-01
- Volume
- 25
- Issue
- 1
- Pages
- 204-211
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2134719072
- Cited by
- 300
- References
- 9
- FWCI
- 69.04
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Nurse Staffing In Hospitals: Is There A Business Case For Quality? https://app.cochat.ai/papers/10.1377/hlthaff.25.1.204
- The paper
- Needleman, J., Buerhaus, P. I., Stewart, M., Zelevinsky, K., & Mattke, S. (2006). Nurse Staffing In Hospitals: Is There A Business Case For Quality? Health Affairs. https://doi.org/10.1377/hlthaff.25.1.204
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.