(2011), patient mortality increased by 2% when nurse staffing was below target and by 4% when the patient was in a unit with “ high turnover,” which refers to admissions and resignations. The authors also point out that nursing workload increases during patient admission, discharge, and transfer (p. 1039). Once the patient arrives on the unit, the nurse must perform physical assessments, obtain a detailed medical history, document home medications, orient the patient to the room and unit, provide instructions on the patient's condition, give medical orders for procedures and medications, initiate vascular access, and so on. During this long period of time, other patients do not receive treatment directly. If the acuity level of these other patients is high or there are many other patients, adverse events may occur. Hinno et al (2011) state that this increased workload increases the risk of hospital-acquired infections, falls, pressure ulcers and medication errors (p. 1585). Through adequate staffing, the authors claim decreased mortality, nosocomial infections, and failure-to-rescue rates. This results in a financial loss as insurance does not pay for “never events” (Needleman et al.