title: Cost outcomes of supplemental nurse staffing in a large medical center.
abstract: Use of agency-employed supplemental nurses on nursing personnel costs was examined in 19 adult patient care units in a large academic medical center. Results indicated that the modest use of supplemental nurses was cost-efficient with regard to overall nursing personnel costs, but heavy reliance on supplemental nurses to meet staffing needs was not cost-efficient. In addition, there was no statistical difference in hourly personnel cost between the use of supplemental nurses and overtime worked by permanent nurses.
authors.affiliation: University of Rochester School of Nursing, Rochester, New York (Dr Xue); Office of the Assistant Secretary for Planning and Evaluation, US Department of Health and Human Services, Washington, District of Columbia (Dr Chappel); Claremont Graduate University, Claremont, California (Dr Freund); Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia (Dr Aiken); and Surgical Health Outcomes and Research Enterprise (SHORE), Departments of Surgery and Preventive Medicine and Community Health, University of Rochester Medical Center, Rochester, New York (Dr Noyes).
authors.forename: Ying
authors.initials: Y
authors.lastname: Xue
authors.forename: Andre R
authors.initials: AR
authors.lastname: Chappel
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Freund
authors.forename: Linda H
authors.initials: LH
authors.lastname: Aiken
authors.forename: Katia
authors.initials: K
authors.lastname: Noyes
mesh_terms: D000046:Academic Medical Centers / Q000191:economics*; D003362:Cost-Benefit Analysis; D005260:Female; D017721:Hospital Costs; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D009741:Nursing Staff, Hospital / Q000191:economics* / Q000600:supply & distribution; D010561:Personnel Staffing and Scheduling / Q000191:economics*; D012189:Retrospective Studies