title: Use strategic thinking to avoid unanticipated results.
abstract: Single-mindedness can lead to unintended, and detrimental, results. Environment can seem to drive positive changes but yield negative outcomes. Having a larger nursing staff can improve financial performance.
mesh_terms: D000407:Alabama; D019985:Benchmarking; D017598:Efficiency, Organizational; D006279:Health Maintenance Organizations / Q000592:standards; D006786:Hospitals, Urban / Q000592:standards*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000191:economics / Q000600:supply & distribution; D010043:Outcome and Process Assessment, Health Care; D017749:Total Quality Management