Unit-level Time Trends in Inpatient Fall Rates of US Hospitals

@article{He2012UnitlevelTT,
  title={Unit-level Time Trends in Inpatient Fall Rates of US Hospitals},
  author={Jianghua He and Nancy Dunton and Vincent S. Staggs},
  journal={Medical Care},
  year={2012},
  volume={50},
  pages={801–807}
}
Background:Little is known about the recent development of the quality of nursing care. Objective:To examine trends in the rate of total inpatient falls, one of the nursing-sensitive quality indicators, in US hospitals. Research Design:A longitudinal study of unit-level data collected during 2004–2009 by the National Database of Nursing Quality Indicators. Hierarchical Poisson regression models were used for the analysis of the unit-level fall rate. Subjects:Approximately 37,000 observations… Expand
Recent Trends in Hospital Nurse Staffing in the United States
TLDR
Hospitals have steadily increased total nurse staffing levels by increasing RN staffing since 2004, and use of temporary RNs in hospitals plummeted from mid-2008. Expand
Longitudinal Association of Registered Nurse National Nursing Specialty Certification and Patient Falls in Acute Care Hospitals
TLDR
The relationship over time between changes in RN national nursing specialty certification rates and changes in total patient fall rates at the patient care unit level was examined and there was a small statistically significant inverse relationship. Expand
Nurse staffing and patient outcomes: a longitudinal study on trend and seasonality
TLDR
By aggregating data across units, this work was able to detect associations between nurse staffing and patient outcomes at both trend and seasonal levels and to study the underlying mechanism of these associations. Expand
Unit-level time trends and seasonality in the rate of hospital-acquired pressure ulcers in US acute care hospitals.
This is a longitudinal study of the trend and seasonality in unit-level hospital-acquired pressure ulcer (HAPU) rates from 2004 to 2011, for 5447 acute care nursing units in 733 US hospitals.Expand
A 10-year journey in sustaining fall reduction in an academic medical center in Singapore
TLDR
The implementation of fall-reduction strategies reduced the fall incidence rate in this acute care setting, however, more work is required to ensure the changes made to the fall assessment, interventions, and processes are sustained and incorporated in patient care. Expand
Evidence on Nurse Staffing Ratios and Patient Outcomes in a Low‐Income Country: Implications for Future Research and Practice
TLDR
Higher rates of nurses per patient were effective in improving some NSOs but not others, and the benefits of the higher nurse to patient ratios in this low-income country warranting further multisite studies in different settings and countries. Expand
The effect of nurse manager turnover on patient fall and pressure ulcer rates.
TLDR
Nurse manager turnover and intensive care unit status were associated with more pressure ulcers and medical/surgical unit status wasassociated with more falls, which may negatively impact patient outcomes. Expand
Impact of Fall Prevention on Nurses and Care of Fall Risk Patients
TLDR
Intense messaging from hospital administration to achieve zero falls resulted in nurses developing a fear of falls, protecting self and unit, and restricting fall risk patients as a way to stop messages and meet the hospital goal. Expand
Reliability assessment of a hospital quality measure based on rates of adverse outcomes on nursing units
  • V. Staggs
  • Medicine
  • Statistical methods in medical research
  • 2017
TLDR
The purpose of this study was to develop methods for assessing the reliability of scores on a widely disseminated hospital quality measure based on nursing unit fall rates and these methods can be adapted to other contexts involving clustered rates of adverse patient outcomes. Expand
The SCOPE of Hospital Falls
TLDR
A theoretical model was developed to propose a human factors framework while considering the permanence of solutions to facilitate proactive decision-making for patient safety during the healthcare facility design. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 36 REFERENCES
Nurse staffing and patient falls on acute care hospital units.
TLDR
Information on unit type and different aspects of nurse staffing, with advanced statistical modeling, resulted in a more precise understanding of the relationship between nurse staffing and falls. Expand
Patient Safety in Hospital Acute Care Units
  • M. Blegen
  • Medicine
  • Annual Review of Nursing Research
  • 2006
TLDR
Although research linking nurse staffing to the quality of patient care has increased markedly since 1996, the results of recent research projects do not yet provide a thorough and consistent foundation for producing solutions to the crisis in hospital nursing care. Expand
The Relationship of Nursing Workforce Characteristics to Patient Outcomes
TLDR
This article reviews what is known from previous nursing outcomes research and identifies gaps in the current state of knowledge, and describes the contribution to research that can be made through the National Database of Nursing Quality Indicators TM (NDNQI®). Expand
Patient falls: Association with hospital Magnet status and nursing unit staffing.
TLDR
In multivariate models, the fall rate was 5% lower in Magnet than non-Magnet hospitals and an additional registered nurse hour per patient day was associated with a 3% lower fall rate in ICUs. Expand
Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls
TLDR
The limited effect of structure on effectiveness and the differential moderating effect of safety climate suggest that future studies may benefit from the use of theoretical models that are targeted more specifically to the explanation of a particular type of adverse event. Expand
Adverse patient occurrences as a measure of nursing care quality.
TLDR
A relationship between the adverse occurrences that were correlated (pressure ulcers, patient complaints, infection, and death) and the severity of patient illness are suggested and are more likely to indicate quality of nursing care across all types of units. Expand
The Effects of Nurse Staffing on Adverse Events, Morbidity, Mortality, and Medical Costs
TLDR
Patients are experiencing adverse events during hospitalization that are associated with a significantly prolonged length of stay and increased medical costs, and care systems to reduce adverse events and their consequences are needed. Expand
A multisite study of nurse staffing and patient occurrences.
TLDR
This study determined the relationship between different levels of nurse staffing and patient outcomes (adverse occurrences) and found the "non-linear" relationship between the proportion of RNs in the staff mix and MAEs. Expand
Are Patient Falls and Pressure Ulcers Sensitive to Nurse Staffing?
TLDR
The evidence of an effect of nursing hours or skill mix on patient falls and pressure ulcers is equivocal and substantial differences in research methods across studies may account for the mixed findings. Expand
Circumstances of Patient Falls and Injuries In 9 Hospitals In a Midwestern Healthcare System
TLDR
Fall prevention programs should target falls involving older patients, unassisted falls, and falls that occur in the patient's bathroom and in patient care areas outside of the patient’s room to reduce injuries. Expand
...
1
2
3
4
...