Document Detail

Falls among adult patients hospitalized in the United States: prevalence and trends.
MedLine Citation:
PMID:  23143749     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The purpose of this study was to provide normative data on fall prevalence in U.S. hospitals by unit type and to determine the 27-month secular trend in falls before the implementation of the Centers for Medicare and Medicaid Service (CMS) rule, which does not reimburse hospitals for care related to injury resulting from hospital falls.
METHODS: We used data from the National Database of Nursing Quality Indicators (NDNQI) collected between July 1, 2006, and September 30, 2008, to estimate prevalence and secular trends of falls occurring in adult medical, medical-surgical, and surgical nursing units. More than 88 million patient days (pd) of observation were contributed from 6100 medical, surgical, and medical-surgical nursing units in 1263 hospitals across the United States.
RESULTS: A total of 315,817 falls occurred (rate = 3.56 falls/1000 pd) during the study period, of which, 82,332 (26.1%) resulted in an injury (rate = 0.93/1000 pd). Both total fall and injurious fall rates were highest in medical units (fall rate = 4.03/1000 pd; injurious fall rate = 1.08/1000 pd) and lowest in surgery units (fall rate = 2.76/1000 pd; injurious fall rate = 0.67/1000 pd). Falls (0.4% decrease per quarter, P < 0.0001) and injurious falls (1% decrease per quarter, P < 0.0001) both decreased over the 27-month study.
CONCLUSIONS: In this large sample, fall and injurious fall prevalence varied by nursing unit type in U.S. hospitals. Over the 27-month study, there was a small, but statistically significant, decrease in falls (P < 0.0001) and injurious falls (P < 0.0001).
Erin L D Bouldin; Elena M Andresen; Nancy E Dunton; Michael Simon; Teresa M Waters; Minzhao Liu; Michael J Daniels; Lorraine C Mion; Ronald I Shorr
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of patient safety     Volume:  9     ISSN:  1549-8425     ISO Abbreviation:  J Patient Saf     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-22     Completed Date:  2013-08-19     Revised Date:  2014-03-07    
Medline Journal Info:
Nlm Unique ID:  101233393     Medline TA:  J Patient Saf     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-7     Citation Subset:  IM    
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MeSH Terms
Accidental Falls / statistics & numerical data*
Hospital Units / statistics & numerical data
Hospitals / statistics & numerical data
Likelihood Functions
Longitudinal Studies
Quality Indicators, Health Care
Reference Values
Regression Analysis
Reimbursement, Incentive
Risk Factors
United States / epidemiology
Wounds and Injuries / epidemiology*,  etiology
Grant Support
R01 AG025285/AG/NIA NIH HHS; R01 AG033005/AG/NIA NIH HHS; R01-AG025285/AG/NIA NIH HHS; R01-AG033005/AG/NIA NIH HHS

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