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PATIENT FALLS: Bigger hospitals, magnet status, higher nurse staffing hours associated with lower fall rate

The rate of patient falls in hospitals that submit data to the National Database for Nursing Quality Indicators was studied for the time period mid-2006 through 2010 with the objective of trying to identify hospital characteristics associated with low, medium, or high patient falls.  This is a direct quote:

The overall mean … fall rate for all observations in the data set was 3.65 … falls per 1,000 patient days. (page 365)

The authors found that characteristics associated with hospitals with better performance on the patient falls rate included:

  • Larger bed size (over 300 beds)
  • Magnet status
  • Higher total nursing hours per patient day

However, nursing skill mix was not found to have a statistically significant effect on the patient fall rate.

Source: Everhart, D., Shumaker, J.R., and others. (2014, October-December). Determinants of hospital fall rate trajectory groups: a longitudinal assessment of nurse staffing and organizational characteristics. Health Care Management Review. 39(4), 352-360.  Click here for access to the publisher’s website: http://journals.lww.com/hcmrjournal/Abstract/2014/10000/Determinants_of_hospital_fall_rate_trajectory.9.aspx Posted by AHA Resource Center (312) 422-2050, rc@aha.org

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