New systems of work organization, such as lean production and total quality management,
have been introduced by employers throughout the industrialized world to improve …

Purpose: Donabedian's 1966 framework of structure, process, and outcome has guided
three decades of study in the United States of the elements needed to evaluate and …

Background It is uncertain whether lower levels of staffing by nurses at hospitals are
associated with an increased risk that patients will have complications or die. Methods We …

Background Amid a national nurse shortage, there is growing concern that high levels of
nurse burnout could adversely affect patient outcomes. Objectives This study examines the …

Background: The organizational context in which nurses practice is important in explaining
variation in patient outcomes, but research has been hampered by the absence of …

Delivering Health Care in America, Sixth Edition is the most current and comprehensive
overview of the basic structures and operations of the US health system—from its historical …

Objectives. To determine whether nurse staffing in California hospitals, where state‐
mandated minimum nurse‐to‐patient ratios are in effect, differs from two states without …

ContextThe average age of registered nurses (RNs), the largest group of health care
professionals in the United States, increased substantially from 1983 to 1998. No empirically …

BACKGROUND: Nursing homes have an important role in the provision of care for
dependent older people. Ensuring quality of care for residents in these settings is the subject …

Nursing home care is currently a two‐tiered system. The lower tier consists of facilities
housing mainly Medicaid residents and, as a result, has very limited resources. The nearly …