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.
Publication types
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Research Support, N.I.H., Extramural
MeSH terms
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Accidental Falls* / prevention & control
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Accidental Falls* / statistics & numerical data
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American Nurses' Association
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Credentialing* / organization & administration
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Cross-Sectional Studies
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Databases, Factual
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Hospitals, General / statistics & numerical data
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Humans
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Multivariate Analysis
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Nursing Administration Research
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Nursing Assistants / education
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Nursing Assistants / supply & distribution
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Nursing Service, Hospital / organization & administration*
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Nursing Staff, Hospital / education
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Nursing Staff, Hospital / supply & distribution*
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Nursing, Practical / education
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Outcome Assessment, Health Care
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Personnel Staffing and Scheduling / organization & administration*
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Quality Indicators, Health Care
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Regression Analysis
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Retrospective Studies
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Safety Management
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United States / epidemiology
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Workforce
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Workload / statistics & numerical data