Patient falls: Association with hospital Magnet status and nursing unit staffing

Authors

  • Eileen T. Lake,

    Corresponding author
    1. Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA
    • 418 Curie Boulevard, Philadelphia, PA 19104-4217.
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    • Associate Professor of Nursing; Associate Professor of Sociology; Associate Director, Center for Health Outcomes and Policy Research.

  • Jingjing Shang,

    1. Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA
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    • Post-Doctoral Fellow.

  • Susan Klaus,

    1. NDNQI Quarterly Processing, University of Kansas School of Nursing, Kansas City, KS
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    • Research Instructor; Manager, NDNQI Quarterly Data Processing.

  • Nancy E. Dunton

    1. School of Nursing, Department of Health Policy & Management, University of Kansas Medical Center, Kansas City, KS
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    • Research Professor of Nursing, Secondary Faculty of Department of Health Policy & Management.


  • The National Database of Nursing Quality Indicators data were supplied by the American Nurses Association. The ANA specifically disclaims responsibility for any analyses, interpretations or conclusions. This study was supported by the National Institute of Nursing Research (R01-NR09068; T32-NR007104; P30-NR005043).

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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