Patient falls: Association with hospital Magnet status and nursing unit staffing

Lake, Eileen T.; Shang, Jingjing; Klaus, Susan; Dunton, Nancy

doi:10.1002/nur.20399

Cited by 187 publications

(189 citation statements)

References 20 publications

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“…Patient falls in hospitals are common and affect approximately 2% to 17% of patients during their hospital stay [3][4][5][6][7]. Fall related injuries occur in 15% to 50% of the patients, including major injuries such as fractures or lacerations in 1% to 10% [7][8][9][10]. Furthermore, falls may lead to fear of falling with subsequent activity restriction, prolonged hospital stay and legal liability [11].…”

Section: Introductionmentioning

confidence: 99%

“…Apparently the utilization of fall risk assessment tools to evaluate patients' risks for falls apparently are not effectively reducing inpatient fall rates because of human factors and ergonomics in a hospital environment [2]. Patient falls in hospitals are common and affect approximately 2% to 17% of patients during their hospital stay [3][4][5][6][7]. Fall related injuries occur in 15% to 50% of the patients, including major injuries such as fractures or lacerations in 1% to 10% [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge and performance among nurses before and after a training programme on patient falls

Enein¹,

Ghany²,

Zaghloul³

2012

OJN

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Knowledge and performance among nurses before and after a training programme on patient falls

Enein¹,

Ghany²,

Zaghloul³

2012

OJN

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“…Some researchers have not been able to demonstrate a benefit of Magnet status. [12][13][14] On the contrary, others have identified superior outcomes for Magnet facilities in falls, 27 general trauma, 28 and neonatal care. 29 For elderly surgical patients, Friese et al 10 demonstrated that hospitalization in a Magnet hospital was associated with decreased 30-d mortality and rates of failure to rescue.…”

Section: Discussionmentioning

confidence: 99%

Association of Hospitalization for Neurosurgical Operations in Magnet Hospitals With Mortality and Length of Stay

Missios

Bekelis

2017

NEUROSURGERY

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BACKGROUND:The association of Magnet hospital status with improved surgical outcomes remains an issue of debate. OBJECTIVE: To investigate whether hospitalization in a Magnet hospital is associated with improved outcomes for patients undergoing neurosurgical operations. METHODS: A cohort study was executed using all patients undergoing neurosurgical operations in New York registered in the Statewide Planning and Research Cooperative System database from 2009 to 2013. We examined the association of Magnet status hospitalization after neurosurgical operations with inpatient case fatality and length of stay (LOS). We employed an instrumental variable analysis to simulate a randomized trial. RESULTS: Overall, 190 787 patients underwent neurosurgical operations. Of these, 68 046 (35.7%) were hospitalized in Magnet hospitals, and 122 741 (64.3%) in non-Magnet institutions. Instrumental variable analysis demonstrated that hospitalization in Magnet hospitals was associated with decreased case fatality (adjusted difference, -0.8%; -95% confidence interval, -0.7% to -0.6%), and LOS (adjusted difference, -1.9; 95% confidence interval, -2.2 to -1.5) in comparison to non-Magnet hospitals. These associations were also observed in propensity score adjusted mixed effects models. These associations persisted in prespecified subgroups of patients undergoing spine surgery, craniotomy for tumor resection, or neurovascular interventions. CONCLUSION:We identified an association of Magnet hospitals with lower case fatality, and shorter LOS in a comprehensive New York State patient cohort undergoing neurosurgical procedures.

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“…The perspective of those who render the service should draw the attention of researchers concerned about patient safety. 3 Aligned with these thoughts, some studies show a growing number of nurses committed to the creation of safer systems, taking over leading positions toward providing patients with risk-free quality care. 4 In Uruguay, authorities are constantly concerned about the safety of patients.…”

Section: Introductionmentioning

confidence: 99%

Adverse events in health and nursing care: patient safety from the standpoint of the professional's experience

Umpiérrez

Fort

Tomás

2015

Texto contexto - enferm.

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ABSTRACT:The aim of the present study was to acknowledge the significant aspects brought about by nurses regarding their experience of being responsible for the occurrence of health adverse events. This exploratory qualitative study employed a hermeneutic dialectic approach. The sample comprised 10 nurses who had been responsible for the occurrence of an adverse event at least once and four nursing supervisors with oversight responsibility for patients at the time the adverse events occurred. Analysis of the collected data allowed for the construction of analysis categories. Relevant issues regarding the need to empower human resources and strengthen recruitment systems were identified, with emphasis to the lack of personnel, workload, teamwork, and continuing education. Results allow for the visualization of an opportunity to put interventions into practice, aiming at contributing to a safer care system. EVENTOS ADVERSOS NA SAÚDE E OS CUIDADOS DE ENFERMAGEM:A SEGURANÇA DOS PACIENTES DESDE A EXPERIÊNCIA DO PROFISSIONAL RESUMO: O estudo tem como objetivo conhecer os aspectos significativos apresentados pelas enfermeiras acerca da experiência de ter sido responsáveis por um evento adverso de saúde. Estudo qualitativo, com enfoque hermenêutico dialético. Amostra de 10 enfermeiras que tiveram ao menos uma experiência de responsabilidade perante um evento adverso e 4 supervisores de enfermagem, com responsabilidade da supervisão ao ocorrer o evento. A análise dos dados coletados permitiu construir categorias de análise relacionadas às necessidades de recursos humanos. Identificaram-se aspectos relevantes respeito à necessidade de fortalecer o sistema de recursos humanos, com dimensionamento de carga de trabalho, o trabalho em equipe, a formação do pessoal, como questões importantes para os enfermeiros. Os dados resultantes permitem enxergar um caminho para pôr em prática intervenções orientadas a colaborar com um sistema seguro de atendimento. DESCRITORES:Segurança do paciente. Cuidados de enfermagem. Recursos humanos de enfermagem. Qualidade da assistência à saúde. EVENTOS ADVERSOS EN SALUD Y CUIDADOS DE ENFERMERÍA:LA SEGURIDAD DEL PACIENTE DESDE LA EXPERIENCIA DEL PROFESIONAL RESUMEN: El estudio tuvo como objetivo conocer los aspectos significativos que surgen de las enfermeras acerca de la experiencia de haber sido responsables de un evento adverso en salud. Estudio cualitativo, con enfoque hermenéutico dialéctico. Muestra de 10 enfermeras que tuvieron al menos una experiencia de responsabilidad ante un evento adverso y cuatro supervisores de enfermería con responsabilidad de supervisión al ocurrir el evento. El análisis de los datos recogidos permitió construir categorías de análisis relacionadas con las necesidades de recursos humanos. Se identificaron aspectos relevantes respecto a la necesidad de fortalecer el sistema de recursos humanos y su selección, surgiendo la dotación de personal, la carga de trabajo, el trabajo en equipo y la formación permanente como aspectos significativos para las enfermeras. Los d...

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Patient falls: Association with hospital Magnet status and nursing unit staffing

Cited by 187 publications

References 20 publications

Knowledge and performance among nurses before and after a training programme on patient falls

Knowledge and performance among nurses before and after a training programme on patient falls

Association of Hospitalization for Neurosurgical Operations in Magnet Hospitals With Mortality and Length of Stay

Adverse events in health and nursing care: patient safety from the standpoint of the professional's experience

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