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Advanced Practice Nurse-Led Statewide Collaborative to Reduce Falls in Hospitals

Gray-Miceli, Deanna PhD, APRN-BC, FGSA, FAANP, FAAN; Mazzia, Lisa MD; Crane, Giles MS, MPH

doi: 10.1097/NCQ.0000000000000213
Articles

Thirty-eight hospitals participated in falls prevention team training, followed by coaching and mentoring over 3 months to develop unit-based initiatives to reduce falls. Initiatives centered on fall risk assessment, rounding, or postfall assessment. Paired t test of the pre-/postintervention fall rates of 23 of the hospitals revealed reduced fall rates (P < .01). The estimated mean decrease was 1.7 falls per 1000 patient days (95% confidence limits of 0.7-2.7).

School of Nursing, Rutgers University, Newark, New Jersey (Dr Gray-Miceli); Medical Team Training, National Center for Patient Safety, Department of Veteran's Affairs, Ann Arbor, Michigan (Dr Mazzia); and Statistical Consultant, Princeton, New Jersey (Mr Crane).

Correspondence: Deanna Gray-Miceli, PhD, APRN-BC, FGSA, FAANP, FAAN, School of Nursing, Rutgers University, 180 University Ave, 220 Ackerson, Newark, NJ 07102 (dmiceli@sn.rutgers.edu).

The authors declare no conflicts of interest.

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Accepted for publication: June 1, 2016

Published ahead of print: August 1, 2016

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