Adams Jewel, Kaplow Roberta, Dominy Janet, Stroud Bridgett
Nurs Econ. 2015 Jan-Feb;33(1):51-8.
The Institute of Medicine (IOM) affirmed that the employment of temporary or per diem nurses augments risk to patient safety. The IOM recommends health care facilities avoid hiring nurses working from a temporary external agency. The IOM recognizes the need for health care facilities to have a plan in place for situations when confronted with short staffing, higher acuity, and increased patient census. Based on recommendations from the IOM, an internal agency was developed in a university-based health care system. Cost savings were realized because of the collaborative efforts of human resources to fill vacancies, unit management managing their respective budgets by flexing staff based on patient census, and the development and implementation of the Enterprise Staffing Pool.
医学研究所（IOM）确认，雇佣临时护士或日薪护士会增加患者安全风险。IOM建议医疗机构避免雇佣来自外部临时机构的护士。IOM认识到医疗机构需要制定应对人员短缺、病情更严重以及患者人数增加情况的计划。基于IOM的建议，一所大学附属医院系统设立了一个内部机构。由于人力资源部门共同努力填补空缺、科室管理层根据患者人数灵活调配员工以管理各自预算，以及企业人员储备库的建立和实施，实现了成本节约。
