Vincent S. Staggs

Learn More
BACKGROUND Various staffing measures have been used in examining the relationship between nurse staffing and patient outcomes. Little research has been conducted to compare these measures based on their explanatory power as predictors of nursing-sensitive outcomes. In this study, both administrative and nurse-reported measures were examined. Administrative(More)
While rates of other nurse-sensitive adverse outcomes have declined in recent years, little is known about trends in rates of assault by psychiatric inpatients. The primary purpose of this study was to examine recent trends in injurious assault rates against patients and staff on adult, geriatric, and child/adolescent psychiatric units, using data from a(More)
BACKGROUND Little is known about the recent development of the quality of nursing care. OBJECTIVE To examine trends in the rate of total inpatient falls, one of the nursing-sensitive quality indicators, in US hospitals. RESEARCH DESIGN A longitudinal study of unit-level data collected during 2004-2009 by the National Database of Nursing Quality(More)
IMPORTANCE In 2008, Medicare implemented the Hospital-Acquired Conditions (HACs) Initiative, a policy denying incremental payment for 8 complications of hospital care, also known as never events. The regulation's effect on these events has not been well studied. OBJECTIVE To measure the association between Medicare's nonpayment policy and 4 outcomes(More)
OBJECTIVE The aim of this study was to examine recent trends in nurse staffing levels and nursing staff composition. BACKGROUND Recent trends in hospital nurse staffing have not been well described, and the effects of the 2007 to 2012 recession and 2008 Centers for Medicare & Medicaid Services rule change are unknown. METHODS A longitudinal study of(More)
We examined the relationship between registered nurse (RN) workgroup job satisfaction and hospital-acquired pressure ulcers (HAPUs) among older adults on six types of acute care units. Random-intercept logistic regression analyses were performed using 2009 unit-level data from the National Database of Nursing Quality Indicators® (NDNQI®) and the NDNQI RN(More)
UNLABELLED Acetaminophen (APAP) overdose is a major cause of acute liver failure (ALF). Numerous studies have shown that APAP hepatotoxicity in mice involves mitochondrial dysfunction, and recent data suggest that this is also the case in humans. We have previously shown that glutamate dehydrogenase (GDH), mitochondrial DNA (mtDNA), and nuclear DNA (nDNA)(More)
OBJECTIVE The study examined associations between staffing levels by registered nurses (RNs) and non-RNs on psychiatric units and the rate of injurious assaults against hospital personnel, the rate of injurious assaults against other patients, and the total rate of injurious assaults. METHODS Generalized mixed models were used to analyze 2011-2013 data(More)
The association between nurse staffing and patient violence on psychiatric units is unclear, and the association between nursing skill mix and violence has not been studied. Monthly data on physical/sexual assaults by patients against others were obtained for 351 adult psychiatric units. Total and injury assault rates were modeled as dependent variables(More)
Hierarchical Poisson modeling was used to explore hospital and nursing unit characteristics as predictors of the unassisted fall rate. Longitudinal data were collected from 1502 units in 248 US hospitals. The relation between the fall rate and total nurse staffing was positive at lower staffing levels and negative for levels around and above the median. The(More)