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Slide Presentation of the 2007 Annual Meeting of AHRQ

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Table 3: Adjusted Odds Ratios Indicating the Effects of Nurse Working Conditions on Patient Safety Outcomes

Text Description is below the image.

Variable CLBSI
(n = 6385)
CAUTI
(n = 6030)
VAP
(n = 5462)
30-d Mortality
(n = 15846)
Decubitus Ulcer
(n = 9554)
OR 95% CI OR 95% CI OR 95% CI OR 95% CI OR 95% CI
Administrative processes: nurse working conditions
  Organizational climate 1.19 1.05-1.36 0.61 0.44-0.83 1.03 0.79-1.34 0.97 0.90-1.02 1.06 0.83-1.37
  Staffing
     Second quartile 0.97 0.55-1.17 0.79 0.50-1.25 0.71 043-1.19 0.89 0.77-1.02 0.94 0.64-1.39
     Third quartile 0.32 0.15-0.70 0.96 0.44-2.07 0.68 0.39-1.21 0.81 0.69-0.95 0.69* 0.49-0.98
     Fourth quartile 0.57 0.20-1.67 0.86 0.37-1.98 0.21 0.08-0.53 0.89 0.76-1.05 1.01 0.63-1.61
  Overtime                    
     Second quartile 0.67 0.24-1.88 2.53 1.66-3.86 0.76 0.24-2.39 0.99 0.80-1.21 1.39 0.82-2.34
     Third quartile 0.69 0.33-1.44 3.54 1.95-6.40 0.88 0.39-1.95 1.03 0.80-1.32 1.16 0.67-2.03
     Fourth quartile 0.33 0.15-0.72 4.72 2.21-10.05 1.26 0.53-2.96 1.06 0.91-1.31 1.91* 1.17-3.11
  Nurses' wages 0.91 0.73-1.13 1.15 0.96-1.36 1.16 0.91-1.48 0.97 0.90-1.02 0.98 0.83-1.23
Structures of care
  Profit
     Second quartile 0.68 0.25-1.81 1.85* 1.04-3.31 4.47 2.42-8.27 1.04 0.90-1.21 1.76* 1.21-2.78
     Third quartile 0.85 0.31-2.31 1.48 0.58-3.74 1.51 0.55-4.08 0.85 0.67-1.06 0.80 0.44-1.44
     Fourth quartile 0.11 0.04-0.30 1.11 0.56-2.17 2.55 1.20-5.43 0.85 0.71-1.03 0.81 0.41-1.57
  Magnet 0.67 0.30-1.50 0.74 0.23-2.29 1.04 0.23-4.71 0.92 0.73-1.17 1.57 0.93-2.65
Pseudo R2 0.19   0.15   0.15   0.18   0.14  

All models are estimated with robust standard errors clustering for intensive care unit. All models are adjusted for a comprehensive set of (1) patient characteristics, including severity of illness, comorbidities, demographics, and socioeconomic status, and (2) setting characteristics, including hospital size and teaching status and ICU type and case-mix.
Key: *P < 0.01; P < 0.05; P < 0.001.


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