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The contribution of staff call light response time to fall and injurious fall rates: an exploratory study in four US hospitals using archived hospital data

Huey-Ming Tzeng, Marita G Titler2 , David L Ronis, and Chang-Yi Yin | BMC Health Services Research 2 | 2012

A clinician takes a patient's blood pressure while the patient lays in a Hillrom hospital bed.

Abstract

Background

Fall prevention programs for hospitalized patients have had limited success, and the effect of programs on decreasing total falls and fall-related injuries is still inconclusive. This exploratory multi-hospital study examined the unique contribution of call light response time to predicting total fall rates and injurious fall rates in inpatient acute care settings. The conceptual model was based on Donabedian's framework of structure, process, and health-care outcomes. The covariates included the hospital, unit type, total nursing hours per patient-day (HPPDs), percentage of the total nursing HPPDs supplied by registered nurses, percentage of patients aged 65 years or older, average case mix index, percentage of patients with altered mental status, percentage of patients with hearing problems, and call light use rate per patient-day.

 

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Care Settings: Acute Care

Clinical Focus: Fall Prevention

Content Type: Journal Articles