Table 1.
Rates of Falls, Discharge Volumes, and Hester Davis Scale Scores Before and After Implementation of a Multidisciplinary Quality Improvement Initiative in the Neurology Inpatient Unit
| Before intervention January 1, 2020, to March 31, 2021 |
After intervention April 1, 2021, to June 30, 2022 |
P value | |
|---|---|---|---|
| Neurology unit | |||
| Falls per 1000 patient-days (95% CI) | 5.11 (3.96-6.49) | 3.60 (2.69-4.73) | 0.07a |
| Unwitnessed falls per 1000 patient-days (95% CI) | 2.74 (1.92-3.80) | 1.53 (0.96-2.31) | 0.04a |
| Falls with injury per 1000 patient-days (95% CI) | 1.45 (0.87-2.26) | 1.04 (0.58-1.71) | 0.42a |
| Mean patient discharge volume per quarter (SD) | 508 (70.7) | 517 (28.4) | 0.79b |
| Mean patient Hester Davis Scale score (SD) | 17 (1.8) | 19 (0.9) | 0.07b |
| Medical unitc | |||
| Falls per 1000 patient-days (95% CI) | 2.90 (2.46-3.40) | 2.71 (2.31-3.17) | 0.58a |
| Unwitnessed falls per 1000 patient-days (95% CI) | 0.93 (0.69-1.23) | 1.38 (1.10-1.72) | 0.03a |
| Falls with injury per 1000 patient-days (95% CI) | 0.61 (0.41-0.86) | 0.80 (0.59-1.07) | 0.27a |
| Mean patient discharge volume per quarter (SD) | 1483 (168.7) | 1399 (108.9) | 0.38b |
| Mean patient Hester Davis Scale score (SD) | 17 (1.6) | 19 (0.5) | 0.08b |
a
Poisson test. Significant (P<.05) differences are emboldened.
b
t-test.
c
Four inpatient medical units (general internal medicine, gastroenterology, and pulmonary services) comprising adult patients who did not receive our intervention.