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Patient falls: Association with hospital Magnet status and nursing unit staffing
Author(s) -
Lake Eileen T.,
Shang Jingjing,
Klaus Susan,
Dunton Nancy E.
Publication year - 2010
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20399
Subject(s) - staffing , medicine , nursing staff , nursing , patient safety , unit (ring theory) , medical emergency , health care , psychology , mathematics education , economics , economic growth
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