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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

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).

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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 (

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: June 1, 2016

Published ahead of print: August 1, 2016

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