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There is a proven method to save patient lives and save hospital money — mandated minimum nurse-to-patient staffing ratios. Jan Schakowsky (D-Ill.) introduced her The Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act to improve patient quality of care by establishing a requirement for nurse-to-patient ratios that put patient safety first.

Authors of a new study contend that California’s 2004 law mandating minimum nurse-to-patient ratios in hospitals has had mixed results on quality of care for patients.

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When nurses are forced to work with high nurse-to-patient ratios, patients die, get infections, get injured, or get sent home too soon without adequate education about how to take care of their illness or injury.A hospital’s patients will be better off when there are more experienced nurses to tend to them—all health experts agree with that. In 2004, California began implementing a law requiring all of its hospitals to limit the numbers of patients that its nurses could treat at any given time. A survey of nurses by the American Nurses Association found 54% saying that they did not have sufficient time to spend on each patient, despite 43% of the respondents working longer hours during the prior year.The California Department of Health Services had arrived at these ratios following a year of consultations with researchers from the University of California-Davis Medical Center, who based their recommendations on surveys they had personally conducted of nurse directors throughout the state.Expert opinion combined with a sweep of existing real-life perspectives from the hospitals themselves, and the California law’s mandated ratio numbers were the end result. Before it went into effect, some had as many as 10 or more patients to tend to at a time on every shift.

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