Patient falls: Association with hospital Magnet status and nursing unit staffing.
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.
Lake
Eileen T
ET
Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Shang
Jingjing
J
Klaus
Susan
S
Dunton
Nancy E
NE
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
Policy Polit Nurs Pract. 2007 Nov;8(4):238-50
18337430
Health Serv Res. 2008 Oct;43(5 Pt 1):1674-92
18459953
Med Care. 1997 Nov;35(11 Suppl):NS6-18
9366875
J Nurs Scholarsh. 2007;39(4):290-7
18021127
Policy Polit Nurs Pract. 2005 Aug;6(3):198-210
16443975
Health Serv Res. 2006 Oct;41(5):2006-24
16987313
Am J Epidemiol. 2003 Feb 15;157(4):364-75
12578807
Appl Nurs Res. 2003 Feb;16(1):9-21
12624858
Int J Qual Health Care. 2008 Aug;20(4):227-37
18436556
Nurs Outlook. 2004 Jan-Feb;52(1):53-9
15014380
Inquiry. 2007 Summer;44(2):167-86
17850043
J Nurs Scholarsh. 2006;38(2):187-93
16773924
Int J Nurs Stud. 2009 Jul;46(7):986-92
18675419
Fed Regist. 2008 Aug 19;73(161):48433-9084
18956499
Health Serv Res. 2008 Feb;43(1 Pt 1):154-73
18211523
West J Nurs Res. 2006 Oct;28(6):654-77
16946108