Patient Falls: Association With Hospital Magnet Status and Nursing Unit Staffing

被引：143

作者：

Lake, Eileen T. ^{[1
]}

Shang, Jingjing ^{[1
]}

Kaus, Susan ^{[2
]}

Dunton, Nancy E. ^{[3
]}

机构：

[1] Univ Penn, Sch Nursing, Ctr Hlth Outcomes & Policy Res, Philadelphia, PA 19104 USA

[2] Univ Kansas, Sch Nursing, Quarterly Proc NDNQ1, Kansas City, KS USA

[3] Univ Kansas, Med Ctr, Sch Nursing, Dept Hlth Policy & Management, Kansas City, KS 66103 USA

来源：

RESEARCH IN NURSING & HEALTH | 2010年 / 33卷 / 05期

关键词：

patient safety; staffing; hospitals; magnet hospitals; nursing units; patient falls; HEALTH-SERVICES; OUTCOMES; CARE;

D O I：

10.1002/nur.20399

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The relationships between hospital Magnet (R) status, nursing unit staffing, and patient falls were examined in a cross-sectional study using 2004 National Database of Nursing Quality Indicators (NDNQI (R)) 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. (C) 2010 Wiley Periodicals, Inc. Res Nurs Health 33:413-425, 2010

引用

页码：413 / 425

页数：13

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