Workforce, Staffing & Safety Dashboard
Interactive, client-side tool for unit leaders to explore staffing, acuity, safety signals, and “what‑if” scenarios. Data stays in your browser (localStorage). No external CDNs.
Unit Profile
Acuity Profile
Set typical daily census and acuity distribution. Used to weight HPPD needs and risk scoring.
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Totals auto-normalize to 100%.
Current-State Gauges
HPPD vs Target
RN Skill Mix
Patients per RN (Day)
Missed Care / Safety Risk
Staffing by Role (24h total)
Outputs
| HPPD (computed) | – |
|---|---|
| RN Skill Mix (%) | – |
| Patients per RN (day) | – |
| OT share of total hours (%) | – |
| Agency share of total hours (%) | – |
| Risk Index (0–100) | – |
Weekly Trend Entry (last 12 weeks)
Adjust values to match your recent history. The Forecast tab uses these to project the next 4 weeks.
Nurse-Sensitive Outcomes (per 1,000 patient-days)
Signals
Suggested Actions (Evidence‑linked)
Next 4 Weeks (simple exponential smoothing)
These illustrative projections use last-12-week signals and an adjustable smoothing factor (α).
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Scenario Controls
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Scenario Results
| HPPD | – |
|---|---|
| RN Skill Mix (%) | – |
| Patients per RN (day) | – |
| Risk Index (0–100) | – |
Measure Logic & Evidence Links
- HPPD = (RN + LPN + NA hours in 24h) / Census.
- RN skill mix = RN hours / Total nursing hours.
- Ratio = Census / RN FTE equivalent per shift (simplified by hours).
- Risk Index is a screening composite (0–100) that increases with low RN skill mix, high OT/agency share, vacancy/turnover, and high acuity. It is not a clinical prediction model.
Selected peer‑reviewed and authoritative sources underpinning the associations between staffing and outcomes:
- Dall’Ora, C., et al. (2022). Nurse staffing levels and patient outcomes: A systematic review of longitudinal studies. International Journal of Nursing Studies.
- AHRQ PSNet Primer: Nursing & Patient Safety (2023–2025 updates).
- Griffiths, P., et al. (2023). Costs and cost‑effectiveness of improved nurse staffing and skill mix in acute hospitals. International Journal of Nursing Studies.
- Dall’Ora, C., et al. (2019). 12‑hour shifts and missed/delayed vital signs. BMJ Open.
- AHRQ (2025). Acute Care Nursing Staff Shortages That Compromise Patient Safety: Rapid Review.
- Pittman, P., et al. (2025). Overtime & agency hours and pressure ulcers. Health Services Research.
- AHRQ QI Toolkit for Hospitals (PSI/IQI use and improvement methods).
- Kandula, U. R., et al. (2025). Multifaceted interventions for pressure injury prevention. BMC Nursing.
This dashboard is for operational decision support and learning. It does not replace clinical judgment or regulatory reporting tools.