Advanced Practice Nurse-Led Statewide Collaborative to Reduce Falls in Hospitals
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Published on: December 9, 2014
Deanna Gray-Miceli1, Lisa Mazzia, Giles Crane
1School of Nursing, Rutgers University, Newark, New Jersey (Dr Gray-Miceli); Medical Team Training, National Center for Patient Safety, Department of Veteran's Affairs, Ann Arbor, Michigan (Dr Mazzia); and Statistical Consultant, Princeton, New Jersey (Mr Crane).
Abstract:
Thirty-eight hospitals participated in falls prevention team training, followed by coaching and mentoring over 3 months to develop unit-based initiatives to reduce falls. Initiatives centered on fall risk assessment, rounding, or postfall assessment. Paired t test of the pre-/postintervention fall rates of 23 of the hospitals revealed reduced fall rates (P < .01). The estimated mean decrease was 1.7 falls per 1000 patient days (95% confidence limits of 0.7-2.7).
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