Effects of changing skill mix.
Although many facilities believe turning over some patient care to unlicensed caregivers will cut costs, results show otherwise. The greater the rate of change--patient acuity--the greater the need for an all-RN staff. Skill mix, length of stay and salary costs among five teaching hospitals measure the cost effects.
Melberg
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Hospital and Clinics, University of California Davis Medical Center, Sacramento, California, USA.
D002983:Clinical Competence; D006784:Hospitals, Teaching; D006801:Humans; D007902:Length of Stay; D009728:Nursing Assistants / Q000600:supply & distribution*; D009741:Nursing Staff, Hospital / Q000600:supply & distribution*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D012456:Salaries and Fringe Benefits; D000078329:Workforce