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

Erin L D Bouldin, Elena Andresen, Nancy E. Dunton, Michael Simon, Teresa M. Waters, Minzhao Liu, Michael J. Daniels, Lorraine C. Mion, Ronald I. Shorr

Research output: Contribution to journalArticle

86 Citations (Scopus)

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).

Original languageEnglish (US)
Pages (from-to)13-17
Number of pages5
JournalJournal of Patient Safety
Volume9
Issue number1
DOIs
StatePublished - Mar 2013

Fingerprint

Nursing
Perioperative Nursing
Centers for Medicare and Medicaid Services (U.S.)
Hospital Units
Wounds and Injuries
Observation
Databases
Medical-Surgical Nursing

Keywords

  • accidental falls
  • databases
  • epidemiology
  • hospital units
  • injuries/epidemiology

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

Bouldin, E. L. D., Andresen, E., Dunton, N. E., Simon, M., Waters, T. M., Liu, M., ... Shorr, R. I. (2013). Falls among adult patients hospitalized in the United States: Prevalence and trends. Journal of Patient Safety, 9(1), 13-17. https://doi.org/10.1097/PTS.0b013e3182699b64

Falls among adult patients hospitalized in the United States : Prevalence and trends. / Bouldin, Erin L D; Andresen, Elena; Dunton, Nancy E.; Simon, Michael; Waters, Teresa M.; Liu, Minzhao; Daniels, Michael J.; Mion, Lorraine C.; Shorr, Ronald I.

In: Journal of Patient Safety, Vol. 9, No. 1, 03.2013, p. 13-17.

Research output: Contribution to journalArticle

Bouldin, ELD, Andresen, E, Dunton, NE, Simon, M, Waters, TM, Liu, M, Daniels, MJ, Mion, LC & Shorr, RI 2013, 'Falls among adult patients hospitalized in the United States: Prevalence and trends', Journal of Patient Safety, vol. 9, no. 1, pp. 13-17. https://doi.org/10.1097/PTS.0b013e3182699b64
Bouldin, Erin L D ; Andresen, Elena ; Dunton, Nancy E. ; Simon, Michael ; Waters, Teresa M. ; Liu, Minzhao ; Daniels, Michael J. ; Mion, Lorraine C. ; Shorr, Ronald I. / Falls among adult patients hospitalized in the United States : Prevalence and trends. In: Journal of Patient Safety. 2013 ; Vol. 9, No. 1. pp. 13-17.
@article{65cf683d415f4f128ae2deaec27edd6d,
title = "Falls among adult patients hospitalized in the United States: Prevalence and trends",
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).",
keywords = "accidental falls, databases, epidemiology, hospital units, injuries/epidemiology",
author = "Bouldin, {Erin L D} and Elena Andresen and Dunton, {Nancy E.} and Michael Simon and Waters, {Teresa M.} and Minzhao Liu and Daniels, {Michael J.} and Mion, {Lorraine C.} and Shorr, {Ronald I.}",
year = "2013",
month = "3",
doi = "10.1097/PTS.0b013e3182699b64",
language = "English (US)",
volume = "9",
pages = "13--17",
journal = "Journal of Patient Safety",
issn = "1549-8417",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Falls among adult patients hospitalized in the United States

T2 - Prevalence and trends

AU - Bouldin, Erin L D

AU - Andresen, Elena

AU - Dunton, Nancy E.

AU - Simon, Michael

AU - Waters, Teresa M.

AU - Liu, Minzhao

AU - Daniels, Michael J.

AU - Mion, Lorraine C.

AU - Shorr, Ronald I.

PY - 2013/3

Y1 - 2013/3

N2 - 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).

AB - 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).

KW - accidental falls

KW - databases

KW - epidemiology

KW - hospital units

KW - injuries/epidemiology

UR - http://www.scopus.com/inward/record.url?scp=84874948673&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874948673&partnerID=8YFLogxK

U2 - 10.1097/PTS.0b013e3182699b64

DO - 10.1097/PTS.0b013e3182699b64

M3 - Article

C2 - 23143749

AN - SCOPUS:84874948673

VL - 9

SP - 13

EP - 17

JO - Journal of Patient Safety

JF - Journal of Patient Safety

SN - 1549-8417

IS - 1

ER -