Slide Presentation from the AHRQ 2007 Annual Conference

Patient Fall Index

(falls per 100 patient days)

Line graph shows the number of falls before and after move to new unit:

• Before the move.
  • 1997: 6 falls per 100 patient days
  • 1998: 4 falls per 100 patient days
• After the move to new unit with single family-centered rooms and decentralized nurse stations
  • 1999: 2 falls per 100 patient days
  • 2000: 2 falls per 100 patient days
  • 2001: 2 falls per 100 patient days

Source: A. Hendrich (2004). In Keeping Patients Safe: Transforming the Work Environment of Nurses. Quality Chasm Series, Institute of Medicine.