Fall Rates in Urban and Rural Nursing Units: Does Location Matter?
- PMID: 29346186
- PMCID: PMC6047925
- DOI: 10.1097/NCQ.0000000000000319
Fall Rates in Urban and Rural Nursing Units: Does Location Matter?
Abstract
Patient falls remain a leading adverse event in hospitals. In a study of 65 rural hospitals with 222 nursing units and 560 urban hospitals with 4274 nursing units, we found that geographic region, unit type, and nurse staffing, education, experience, and outcomes were associated with fall rates. Implications include specific attention to fall prevention in rehabilitation units, creating better work environments that promote nurse retention, and provide RN-BSN educational opportunities.
Conflict of interest statement
The authors declare no conflicts of interest.
References
-
- The Joint Commission Center for Transforming Healthcare. Facts about the preventing falls project. 2015 Available at: http://www.centerfortransforminghealthcare.org/assets/4/6/CTH_Prev_Falls....
-
- Agency for Healthcare Research and Quality. National Scorecard on Rates of Hospital-Acquired Conditions. 2016 Dec; Available at: http://www.ahrq.gov/professionals/quality-patient-safety/pfp/index.html.
-
- Shekelle PG, Wachter RM, Pronovost PJ, et al. Making health care safer II: An updated critical analysis of the evidence for patient safety practices. Rockville, MD: AHRQ; Mar, 2013. p. 178. (Evidence report no. 211. Publication No. 13-E001-EF). Available at: www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp. - PMC - PubMed
-
- Quigley P. Is zero falls the right target? The Institute for Healthcare Improvement blog. 2015 Available at: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemvie....
-
- DiBardino D, Cohen ER, Didwania A. Meta-analysis: Multidisciplinary fall prevention strategies in the acute care inpatient population. J Hosp Med. 2012;7(6):497–503. - PubMed
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical