title: Patient falls: Association with hospital Magnet status and nursing unit staffing.
abstract: The relationships between hospital Magnet® status, nursing unit staffing, and patient falls were examined in a cross-sectional study using 2004 National Database of Nursing Quality Indicators (NDNQI®) data from 5,388 units in 108 Magnet and 528 non-Magnet hospitals. In multivariate models, the fall rate was 5% lower in Magnet than non-Magnet hospitals. An additional registered nurse (RN) hour per patient day was associated with a 3% lower fall rate in ICUs. An additional licensed practical nurse (LPN) or nursing assistant (NA) hour was associated with a 2-4% higher fall rate in non-ICUs. Patient safety may be improved by creating environments consistent with Magnet hospital standards.
authors.affiliation: Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
authors.forename: Eileen T
authors.initials: ET
authors.lastname: Lake
authors.forename: Jingjing
authors.initials: J
authors.lastname: Shang
authors.forename: Susan
authors.initials: S
authors.lastname: Klaus
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Dunton
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data; D000575:American Nurses' Association; D003406:Credentialing / Q000458:organization & administration; D003430:Cross-Sectional Studies; D016208:Databases, Factual; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D015999:Multivariate Analysis; D015401:Nursing Administration Research; D009728:Nursing Assistants / Q000193:education / Q000600:supply & distribution; D009738:Nursing Service, Hospital / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000600:supply & distribution*; D009743:Nursing, Practical / Q000193:education; D017063:Outcome Assessment, Health Care; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D019984:Quality Indicators, Health Care; D012044:Regression Analysis; D012189:Retrospective Studies; D017751:Safety Management; D014481:United States / Q000453:epidemiology; D000078329:Workforce; D016526:Workload / Q000706:statistics & numerical data
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