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March 17, 2004

Relationship Between Patient Mortality and Nurses' Level of Education

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(11):1320-1323. doi:10.1001/jama.291.11.1322-b

To the Editor: Dr Aiken and colleagues1 presented the effects of different levels of nurses' education on the outcomes for surgical patients. To put this in perspective, however, the Institute of Medicine reports that numerous studies have led to the conclusion that "the burden of harm conveyed by the collective impact of all our health care quality problems is staggering."2,3

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