Abstract
To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents. Observational cross-sectional study from January 1, 2006, to December 31, 2006. NHs in the United States in 2006. Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission. The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics. Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95-0.99). For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to...Continue Reading
References
Jul 1, 1987·Journal of the American Geriatrics Society·M E Tinetti
Mar 1, 1981·Medical Care·E B KeelerD H Solomon
Dec 1, 1995·Journal of the American Geriatrics Society·C M Cali, D P Kiel
Nov 1, 1995·Journal of the American Geriatrics Society·S M FriedmanS J Denman
Jul 1, 1994·Journal of Gerontology·J N MorrisL A Lipsitz
Sep 15, 1994·Annals of Internal Medicine·L Z RubensteinA S Robbins
Mar 1, 1996·Journal of the American Geriatrics Society·P B ThapaW A Ray
Apr 15, 1997·American Journal of Epidemiology·C A Mustard, T Mayer
May 20, 1998·Journal of the American Geriatrics Society·D K KielyL A Lipsitz
Oct 16, 1999·Journal of the American Geriatrics Society·J Kayser-JonesH Shaw
Aug 31, 2001·American Journal of Public Health·C HarringtonD U Himmelstein
Dec 11, 2002·Journal of the American Geriatrics Society·Sheryl ZimmermanJay Magaziner
Jul 3, 2003·JAMA : the Journal of the American Medical Association·Susan L MitchellVincent Mor
Sep 26, 2003·American Journal of Epidemiology·M KronC Becker
Dec 12, 2003·Medical Care·Ciaran O'NeillDebra Saliba
Feb 24, 2004·The Gerontologist·Xinzhi Zhang, David C Grabowski
Apr 14, 2004·Journal of Nursing Care Quality·Jane E Bostick
Jun 7, 2005·Journal of the American Geriatrics Society·Alon Y AvidanRonald D Chervin
Sep 27, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Mathew S MaurerHuai Cheng
Feb 10, 2007·Journal of the American Medical Directors Association·Dustin D FrenchAndrea M Spehar
Sep 14, 2007·Health Services Research·Nicholas G Castle, John Engberg
Dec 20, 2007·Journal of Clinical Nursing·Edit FonadHelene Sandmark
Jan 15, 2008·Nursing Administration Quarterly·C J Riggs, M J Rantz
Jul 31, 2008·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Kilian RappJochen Klenk
Aug 30, 2008·The Gerontologist·Nicholas G Castle, John Engberg
Sep 25, 2008·Journal of the American Geriatrics Society·Jian Sheng ChenPhilip N Sambrook
Feb 25, 2009·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·K RappC Becker
Aug 6, 2009·BMJ : British Medical Journal·Vikram R ComondoreGordon H Guyatt
Citations
Sep 24, 2013·Archives of Physical Medicine and Rehabilitation·Tze-Hsun YenTsan-Hon Liou
Jun 25, 2015·Journal of the American Medical Informatics Association : JAMIA·Allison MarierWilliam D Spector
Mar 17, 2016·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Sarah D BerryVincent Mor
Oct 10, 2013·Journal of Advanced Nursing·René SchwendimannSabina de Geest
May 7, 2015·Journal of the American Medical Directors Association·Natalie E LelandJoan M Teno
Jul 28, 2016·Journal of the American Medical Directors Association·Geetanjoli BanerjeeVincent Mor
Jan 21, 2017·BMC Health Services Research·Ramona BackhausJan P H Hamers
Jan 18, 2018·Journal of the American Geriatrics Society·Andrew R ZulloSarah D Berry
Mar 6, 2018·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ning ZhangJerry H Gurwitz
Dec 9, 2015·Health Affairs·Michael Lepore, Natalie E Leland
Aug 25, 2018·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Carin WongNatalie E Leland
Dec 22, 2017·The Health Care Manager·Michael P CaryCathleen S Colón-Emeric
Mar 4, 2020·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Fatema A AlqenaeRichard N Keers
Jan 24, 2017·Disability and Rehabilitation·Natalie E LelandPaul Nash
Sep 2, 2020·International Journal of Environmental Research and Public Health·Soo-Kyoung LeeJi Yeon Lee
Aug 10, 2017·Revista brasileira de enfermagem·Cristina Rosa Soares Lavareda BaixinhoMaria Adriana Pereira Henriques
May 30, 2017·Journal of Aging and Health·Lynette A Mackenzie, Julie E Byles
Jan 1, 2016·Physical & Occupational Therapy in Geriatrics·Lauren H Kim, Natalie E Leland
Apr 18, 2020·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Sarah D BerryDouglas P Kiel
Mar 25, 2020·Dementia & Neuropsychologia·Cristina Lavareda Baixinho, Maria Dos Anjos Dixe
Jan 16, 2021·Japan Journal of Nursing Science : JJNS·Minhee Suh, Insook Cho
Jul 9, 2021·Journal of the American Medical Directors Association·Huey-Ming TzengKenneth J Ottenbacher
Sep 9, 2021·Health Affairs·Kali S ThomasPaula Carder