Patient falls: Association with hospital Magnet status and nursing unit staffing |
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| Authors: | Eileen T. Lake Jingjing Shang Susan Klaus Nancy E. Dunton |
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| Affiliation: | 1. Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA;2. Associate Professor of Nursing;3. Associate Professor of Sociology;4. Associate Director, Center for Health Outcomes and Policy Research.;5. Post‐Doctoral Fellow.;6. NDNQI Quarterly Processing, University of Kansas School of Nursing, Kansas City, KS;7. Research Instructor;8. Manager, NDNQI Quarterly Data Processing.;9. School of Nursing, Department of Health Policy & Management, University of Kansas Medical Center, Kansas City, KS;10. Research Professor of Nursing, Secondary Faculty of Department of Health Policy & Management. |
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| 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. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:413–425, 2010 |
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| Keywords: | patient safety staffing hospitals magnet hospitals nursing units patient falls |
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