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Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States

Aiken L H, Sermeus W, Van den Heede K, Sloane D M, Busse R, McKee M, Bruyneel L, Rafferty A M, Griffiths P, Moreno-Casbas M T, Tishelman C, Scott A, Brzostek T, Kinnunen J, Schwendimann R, Heinen M senior, Zikos D, Strømseng Sjetne I senior, Smith H L, Kutney-Lee A
BMJ 344:e1717 doi: 10.1136/bmj.e1717 (Published 20 March 2012)





To determine whether hospitals with a good organisation of
care (such as improved nurse staffing and work environments) can affect
patient care and nurse workforce stability in European countries.


Cross sectional surveys of patients and nurses.


Nurses were surveyed in general acute care hospitals (488 in
12 European countries; 617 in the United States); patients were surveyed
in 210 European hospitals and 430 US hospitals.


33 659 nurses and 11 318 patients in Europe; 27 509
nurses and more than 120 000 patients in the US.
Main outcome measures Nurse outcomes (hospital staffing, work
environments, burnout, dissatisfaction, intention to leave job in the next
year, patient safety, quality of care), patient outcomes (satisfaction overall
and with nursing care, willingness to recommend hospitals).