Nancy Dunton

TL;DR: In this large sample of hospitals, fall and injurious fall prevalence varied by nursing unit type in U.S. hospitals, with a small, but statistically significant, decrease in falls over the 27-month study.

TL;DR: In multivariate models, the fall rate was 5% lower in Magnet than non-Magnet hospitals and an additional registered nurse hour per patient day was associated with a 3% lower fall rate in ICUs.

TL;DR: Information on unit type and different aspects of nurse staffing, with advanced statistical modeling, resulted in a more precise understanding of the relationship between nurse staffing and falls.

TL;DR: The Hospital-Acquired Conditions Initiative was associated with improvements in CLABSI and CAUTI trends, conditions for which there is strong evidence that better hospital processes yield better outcomes, but the HACs Initiative was not associated with improved in HAPU or injurious fall trends, which means there is less evidence that changing hospital processes leads to significantly better outcomes.

TL;DR: This article reviews what is known from previous nursing outcomes research and identifies gaps in the current state of knowledge, and describes the contribution to research that can be made through the National Database of Nursing Quality Indicators TM (NDNQI®).