Journal
RESEARCH IN NURSING & HEALTH
Volume 33, Issue 5, Pages 413-425Publisher
JOHN WILEY & SONS INC
DOI: 10.1002/nur.20399
Keywords
patient safety; staffing; hospitals; magnet hospitals; nursing units; patient falls
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Funding
- National Institute of Nursing Research [R01-NR09068, T32-NR007104, P30-NR005043]
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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
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