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Our current system does little to examine the most important indicator of quality: staffing.
My NHS includes searchable data on food quality, staffing, patient safety, mental health and other areas of care.
33 Minimising expenditures may lead to lower quality staffing and higher rates of adverse events (such as pressure ulcers), which may be reflected in citations for deficiency.
We found more or higher quality staffing in not-for-profit homes (ratio of effect 1.11, 95% confidence interval 1.07 to 1.14, P<0.001, I=91.6%) (fig 2).
When the only non-US study was excluded, we arrived at a similar ratio of effect for more or higher quality staffing in not-for-profit homes of 1.11 (1.07 to 1.15, P<0.001, I=92.4%).
Meta-analyses suggested that not-for-profit facilities delivered higher quality care than did for-profit facilities for two of the four most frequently reported quality measures: more or higher quality staffing (ratio of effect 1.11, 95% confidence interval 1.07 to 1.14, P<0.001) and lower pressure ulcer prevalence (odds ratio 0.91, 95% confidence interval 0.83 to 0.98, P=0.02).
Similar(54)
Quality staff are what matters.
But to set new standards will require promptly establishing a quality staff and making quick decisions.
The current atmosphere will make it harder for the board to get going and to hire a quality staff.
"To have a successful care home, you need quality staff, and if you can't get the staff it falls apart very quickly.
As recently as two years ago, the heads of international schools, striving to meet high expectations, were troubled by a shortage of quality staff.
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