Observational studyJournal of advanced nursing2022
Patient-level and organizational-level factors influencing in-hospital falls.
Observational study in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 28 citations in OpenAlex.
- Nursing-Led Interventions for Preventing Falls in Hospitalized Patients: A Systematic Literature Review.Nursing reports (Pavia, Italy) · 2026Review
- Hospital Fall Prevention Practices and Implementation Strategies: A Multisite Observational Study.Journal of patient safety · 2026Article
- Circadian Lighting Was Associated with a Reduction in the Number of Hospitalized Patients Experiencing Falls: A Retrospective Observational Study.Healthcare (Basel, Switzerland) · 2025Article
- Factors associated with proximal femoral fractures in older adults during hospital stay: a cross-sectional study.BMJ quality & safety · 2025Observational
- Impact of Nurse Staffing Levels on Patient Fall Rates: A Retrospective Cross-Sectional Study in General Wards in Japan.Healthcare (Basel, Switzerland) · 2025Article
- Patient safety reporting and learning system of Catalonia (SNiSP Cat): a health policy initiative to enhance culture, leadership and professional engagement.BMJ open quality · 2024Article
- Risk assessment of healthcare workers' exposure to physical load in relation to patient handling and movement: a feasibility study of the instrument TilThermometer.BMC musculoskeletal disorders · 2024Article
- Article
- Nursing workload: use of artificial intelligence to develop a classifier model.Revista latino-americana de enfermagem · 2024Observational
- Paid caregivers' experiences of falls prevention and care in China's senior care facilities: A phenomenological study.Frontiers in public health · 2023Article
- Patient-level and organizational-level factors influencing in-hospital falls.Journal of advanced nursing · 2022Observational
- History of Falls and Bedriddenness Ranks are Useful Predictive Factors for in-Hospital Falls: A Single-Center Retrospective Observational Study Using the Saga Fall Risk Model.International journal of general medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
aimIn-hospital fall is one key safety issue in a healthcare setting. Although healthcare providers apply several strategies for preventing falls, falls still occur in hospitals. The aim of this study was to investigate patient-level and organizational-level factors influencing in-hospital falls.
designA multicentre retrospective observational study.
methodsThis study used the national healthcare database and supplemented with organizational data obtained through a survey. Data extraction and survey were conducted between July and August 2020. A mixed-effect logistic regression model was used to analyse factors influencing in in-hospital falls.
resultsA total of 43,286 patients admitted in 86 hospitals were included in this study. Fall rate was 0.85 per 1000 days. Length of stay was significantly longer for fall patients than for no-fall patients. Patient-level factors (including age, mobility impairment and surgery) and organizational-level factors (including nurse staffing and proportion of new nurses) were significant factors influencing in-hospital falls.
conclusionSince in-hospital falls increase economic burden to patients, we should consider various fall prevention strategies to reduce falls. For a strategy to be applied stably to patients, organizational factors must be supported. IMPACT: Proactive fall management in acute settings is essential to ensure patient safety. Considering that the number of patients with fall risk is increasing due to ageing, organizational factors should be supported to provide quality nursing care for fall risk patients. Therefore, nurse leaders should primarily ensure an appropriate level of nurse staffing. They also need to make efforts to strengthen clinical competency of nurses.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.