Publications by authors named "Jean B Marshall"
Objectives: The objective was to evaluate the effect of mandated nurse-patient ratios (NPRs) on emergency department (ED) patient flow.
Methods: Two institutions implemented an electronic tracking system embedded within the electronic medical record (EMR) of two EDs (an academic urban, teaching medical center-Hospital A; and a suburban community hospital-Hospital B), with a combined census of 60,000/year, to monitor real-time NPRs and patient acuity, such that compliance with state-mandated ratios could be prospectively monitored. Data were queried for a 1-year period after implementation and included patient wait times (WTs), ED care time (EDCT), patient acuity, ED census, and NPR status for each nurse, patient, and the ED overall.