Medical-surgical mixed units – 3.55 falls per 1000 patient days.Surgical units – 2.89 falls per 1000 patient days.Medical units – 2.64 falls per 1000 patient days.Step down units - 3.28 falls per 1000 patient days.Critical care -1.32 falls per 1000 patient days.(Staggs et al., 2015)Ī study of 8915 units using 2008 statistics, reported the following fall rates by unit type: Hospitals with greater than 300 beds were found to have a 6% lower fall rate than smaller hospitals. They found that more time was spent by nursing personnel on admissions and discharges and that those units with higher patient turnover rates tended to be physically larger with increased distance between nursing stations and patient rooms. High-fall rate units had higher patient turnover rates. A significant difference between the low and high-fall rate units was found to be the patient turnover rates. They classified these units as low and high-fall units. Fall rates ranged from 0.2 to 13.3 falls per 1,000 patient days in medical nursing units. A recent study found patient characteristics, nursing unit, hospital culture, environment, equipment and procedures influenced the rate of patient falls. The reported inpatient fall rate varies widely in the literature. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013. Īgency for Healthcare Research and Quality Publication No. Updated Information on the Annual Hospital-Acquired Condition Rate: 20. Īgency for Healthcare Research and Quality Pub. Appendix: Incidence of Hospital-Acquired Conditions in the Partnership for Patients: Estimates and Projected and Measured Impact. In other words, preventable, serious injury that resulted from care provided to the inpatient.ĪHRQ Partnership for Patients (PfP) Hospital Acquired Condition (HAC) Falls Data by YearĪgency for Healthcare Research and Quality Publication #16-0009-EF. HAC is defined by the Centers for Medicare & Medicaid Services as conditions that are: (a) high cost or high volume or both, (b) result in the assignment of a case to a DRG that has a higher payment when present as a secondary diagnosis, and (c) could reasonably have been prevented through the application of evidence-based guidelines. Unless there is evidence suggesting otherwise, when a resident is found on the floor, a fall is considered to have occurred (DHHS). An episode where a resident lost his/her balance and would have fallen, if not for staff intervention, is considered a fall. Others provide guidance “fall” refers to unintentionally coming to rest on the ground, floor, or other lower level, but not as a result of an overwhelming external force (e.g., resident pushes another resident). Some are detailed “loss of upright position that results in landing on the floor, ground or an object or furniture or a sudden, uncontrolled, unintentional, non-purposeful, downward displacement of the body to the floor/ground or hitting another object like a chair or stair” (VA National Center). Some fall definitions are succinct an event which results in a person coming to rest inadvertently on the ground or floor or other lower level (WHO, 2012). In fact, The Joint Commission (TJC) allows each accredited facility to determine what constitutes a patient or resident fall (TJC, 2008). There is no universally accepted definition of a patient fall.
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