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Group Discussion Forum- Case Study# 2 (10%) [Validates Outcome CLO 7] Ontario does not have mandated nurse-to-patient ratios but research has established a best practice ratio of 1:4 (one RN for every four patients) in hospital medicine and surgery units.

Some community hospitals have nurse-to-patient ratios are as high as 1:6 during the day and 1:7 during the night shifts and 1:9 during overnight shifts on medicine and surgery units. Lack of funding was the reason hospitals gave for these extremely high patient ratios.

This means that patients in these units are at risk because there is extensive research evidence that shows improved outcomes for patients who receive more hours of RN care. In short, a large body of literature demonstrates that higher RN ratios result in the provision of high—quality care. (ONA, 2016). Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. Explain the link between risk management and patient safety.

2. Why do patient safety risks increase when the nurse to patient ratio increases?

3. Explain the relationship between quality improvement in healthcare and staffing ratios.

4. What activities could the team leader promote to improve patient safety with existing staff ratios?

5. What staffing safety measurement policies does a hospital need to be accredited?

6. How can more RN hours of care positively impact adverse outcomes for patients? 7. How can more RN hours reduce costs for our health care system?

8. Find and explain a Canadian research study that supports nurse to patient ratios?

9. Find and explain a Canadian hospital policy the supports patient safety with nurse to patient ratios for staffing?