Your recent article "Study: More nurse staffing equals shorter lengths of stay, fewer infections" (May 12, p. 19) was long on bias and short on data. The perceptive reader would need more information to reach the same conclusions as the author and study contributors.
The essence of the article leads one to believe that more RN hours per patient day yields shorter lengths of stay and lower hospital-acquired infections. But there are too many confounding variables to ever reach that conclusion. There was no discussion of the methodology used in the study.
I also take issue with the statement: "A discount approach to care may boost the bottom lines of hospitals and insurance companies, but it does so at the expense of the patient." What approach might that be? Some of the approaches to lowering the cost of healthcare delivery have been very successful at maintaining or improving the quality of patient care.
A key to successful changes in care systems, measured in quality of life and patient-care terms, is the ability to adjust the paradigms of those involved in the change process. The healthcare industry needs to change its approach if innovations are to succeed.
Clinical decision support coordinator
Promina Northwest Health System