The University of Southampton
University of Southampton Institutional Repository

Falls among adult patients hospitalized in the United States: prevalence and trends

Falls among adult patients hospitalized in the United States: prevalence and trends
Falls among adult patients hospitalized in the United States: prevalence and trends
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).
1549-8417
Bouldin, E. L.
25874e64-6ea1-4a5b-bc91-0cd9a25def39
Andresen, E. M.
c31eaf72-c99d-435c-829a-8f6def100152
Dunton, N. E.
bbd2f715-344c-4d81-ba6b-b876cc41a1b4
Simon, M.
6e9ad30e-c22f-455a-945e-98d77dcec479
Waters, T. M.
9c9b7ce5-8693-49d4-b29f-4add7299fcce
Liu, M.
80d30112-2527-4dfb-830f-0b8a70ddb929
Daniels, M. J.
139f8f83-496c-4970-9de2-2d9f2a24f005
Mion, L. C.
d33d5e4e-9c65-4f93-8c10-c30d75907e56
Shorr, R. I.
31b09408-7249-4da3-92c4-3faa02e1d76a
Bouldin, E. L.
25874e64-6ea1-4a5b-bc91-0cd9a25def39
Andresen, E. M.
c31eaf72-c99d-435c-829a-8f6def100152
Dunton, N. E.
bbd2f715-344c-4d81-ba6b-b876cc41a1b4
Simon, M.
6e9ad30e-c22f-455a-945e-98d77dcec479
Waters, T. M.
9c9b7ce5-8693-49d4-b29f-4add7299fcce
Liu, M.
80d30112-2527-4dfb-830f-0b8a70ddb929
Daniels, M. J.
139f8f83-496c-4970-9de2-2d9f2a24f005
Mion, L. C.
d33d5e4e-9c65-4f93-8c10-c30d75907e56
Shorr, R. I.
31b09408-7249-4da3-92c4-3faa02e1d76a

Bouldin, E. L., Andresen, E. M., Dunton, N. E., Simon, M., Waters, T. M., Liu, M., Daniels, M. J., Mion, L. C. and Shorr, R. I. (2012) Falls among adult patients hospitalized in the United States: prevalence and trends. Journal of Patient Safety. (PMID:23143749)

Record type: Article

Abstract

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).

Full text not available from this repository.

More information

Published date: November 2012
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 345220
URI: https://eprints.soton.ac.uk/id/eprint/345220
ISSN: 1549-8417
PURE UUID: 8050b903-5874-4233-b62c-dd08192120c6

Catalogue record

Date deposited: 13 Nov 2012 16:24
Last modified: 16 Jul 2019 21:49

Export record

Contributors

Author: E. L. Bouldin
Author: E. M. Andresen
Author: N. E. Dunton
Author: M. Simon
Author: T. M. Waters
Author: M. Liu
Author: M. J. Daniels
Author: L. C. Mion
Author: R. I. Shorr

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of https://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×