Impact of Nurse Patient Ratio on the Inpatient Fall Rates
Additionally, Shekelle argues that the patient-nurse ration of 8:1 leads to more patient deaths as compared to the 4:1 ration due to inefficient application of patient safety approaches. Additionally, Erin et al. (2) study on trends and prevalence about the fall among patients admitted in hospitals in the U. S shows that an aggregate of 315,817 falls were evident during the study period. Over 26% of those falls where as a result of injury. The study also compared the staffing and deficiencies level before and after purchase by the private equity companies. The results of the study showed that the top ten for-profit had recorded lower number of registered nurses compared to the government facilities. The chains recorded higher deficiencies than the government facilities. The chains recorded a notable change in staffing levels upon being purchased by PE companies although the number of deficiencies and serious deficiencies increased after the purchase compared to before the purchase.
This study showed that there is need for more study on for-profits chains along with the private equity companies. Also the project also aimed at providing knowledge to staffs about the patient’s mobility. After three months there was a 67% decrease in falls. The reduction was not only attributed on the use of Mobility Circles but also on other reasons. Firstly the creation of awareness of fall prevention increased through several discussions in different departments and in staff meetings as well as in joint governance conferences. This awareness might had a great influence on the falls deduction. For every 291 falls, 144 were from Jeddah and 116 falls occurred in the last quarter of the Islamic calendar. Increase in hospital beds and their occupancy caused the increase to the no of patient’s falls.
The falls frequency also varied from one hospital to another. According to Eileen et al. (1) study was on the relationship between Magnet status hospital, patients fall and nursing staffing unit. The patients should be assessed frequently from time to time to identify the risk and try to find the best way to prevent falls. Peter et al (20), study illustrates how patient’s safety outcomes connected with nurse staffing levels. The research showed that nurse staffing is linked with patient’s safety outcomes. David et al (1) study is done to identify the value of risk aspects for forthcoming falls amid older patients. A patient who had fallen before have balance problems and is likely to fall in the future. Continuous Quality Improvement.
” MEDSURG Nursing 22. 6 (2013): 365-369 Charlene Harrington, Brian Olney, Helen Carrillo, and Taewoon Kang. “Nurse Stafﬁng and Deﬁciencies in the Largest For‐Proﬁt Nursing Home Chains and Chains Owned by Private Equity Companies. ” Health Services Research 47. “Determinants of hospital fall rate trajectory groups: A longitudinal assessment of nurse staffing and organizational characteristics. ” NIH Public Access 39(4) (2014): 352-360 David A. Ganz, Yeran Bao, Paul G. Shekelle and Laurence Z. Rubenstein. Bouldin, Elena M. Andresen, Nancy E. Dunton, Michael Simon, Teresa M. Waters, Minzhao Liu, Michael J. Daniels, Lorraine C. ” Age and Aging 44 (2015): 1032-1035 Mohammed Abdulwahab Flimban, DalalFouadAbduljabar, Khalid Obaid Dhafar, Basma Abdulhameed Deiab, Zohair Jamil Gazzaz, Abasra Usman Bansuan, Abeer Ahmad Balbed, Ahmad Mohammed Al-Shaikhi, SultanSaadAl-Motari, Muhammad Imran Suliman. “Analysis of patient falls among hospitalised patients in Makkah region” JPak Medical Association 66.
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