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Improving hospital patient falls: Leveraging staffing characteristics and processes of care

Aydin, Carolyn, Donaldson, Nancy, Aronow, Harriet U., Fridman, Moshe and Brown, Diane S. (2015). Improving hospital patient falls: Leveraging staffing characteristics and processes of care. Journal of Nursing Administration,45(5):254-262.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 3
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IRMA ID 83393865xPUB253
Title Improving hospital patient falls: Leveraging staffing characteristics and processes of care
Author Aydin, Carolyn
Donaldson, Nancy
Aronow, Harriet U.
Fridman, Moshe
Brown, Diane S.
Journal Name Journal of Nursing Administration
Publication Date 2015
Volume Number 45
Issue Number 5
ISSN 0002-0443   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84929233631
Start Page 254
End Page 262
Total Pages 9
Place of Publication United States
Publisher Lippincott Williams & Wilkins
Field of Research MEDICAL AND HEALTH SCIENCES
1110 - Nursing
HERDC Category C1 - Journal Article (DIISR)
Abstract OBJECTIVE: Predictive models for falls, injury falls, and restraint prevalence were explored within nursing unit structures and processes of care.

BACKGROUND: The patient care team is responsible for patient safety, and improving practice models may prevent injuries and improve patient safety.

METHODS: Using unit-level self-reported data from 215 hospitals, falls, injury falls, and restraint prevalence were modeled with significant covariates as predictors.

RESULTS: Fewer falls/injury falls were predicted by populations with fewer frail and at-risk patients, more unlicensed care hours, and prevention protocol implementation, but not staffing per se, restraint use, or RN expertise. Lower restraint use was predicted by fewer frail patients, shorter length of stay, more RN hours, more certified RNs, and implementation of fall prevention protocols.

CONCLUSION: In the presence of risk, patient injuries and safety were improved by optimizing staffing skill mix and use of prevention protocols.
DOI http://dx.doi.org/10.1097/NNA.0000000000000195   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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