Frequently observed risk factors for fall-related injuries and effective preventive interventions: a multihospital survey of nurses' perceptionsHuey Ming Tzeng
College of Nursing, Washington State University, Spokane, WA 99210, USA
J Nurs Care Qual 28:130-8. 2013
..The most effective interventions were keeping hospital bed brakes locked, keeping floor surfaces clean/dry, using appropriate footwear for patients, maintaining a call light within reach, and reducing tripping hazards...
Using multiple data sources to answer patient safety-related research questions in hospital inpatient settings: a discursive paper using inpatient falls as an exampleHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI 48502 1950, USA
J Clin Nurs 20:3276-84. 2011
..This education-focused paper presents a discussion of possible data sources used in patient safety issues specific to fall reduction in hospital inpatient care settings...
The contribution of staff call light response time to fall and injurious fall rates: an exploratory study in four US hospitals using archived hospital dataHuey Ming Tzeng
Department of Nursing, The University of Michigan Flint, School of Health Professions and Studies, 48502, USA
BMC Health Serv Res 12:84. 2012
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Relationship of actual response time to call lights and patient satisfaction at 4 US hospitalsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, University of Michigan Flint, 303 E Kearsley St, Flint, MI 48502, USA
J Nurs Care Qual 27:E1-8. 2012
..quot; The relationship between response time and patient satisfaction with "help to the bathroom" was not supported...
Perspectives of staff nurses toward patient- and family-initiated call light usage and response time to call lightsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, 48502, USA
Appl Nurs Res 24:59-63. 2011
..6%), and answering calls prevented them from doing the critical aspects of their role (43.8%). Staff's perspectives toward call lights should be surveyed on a regular basis...
Predicting patient satisfaction with nurses' call light responsiveness in 4 US hospitalsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, MI 48502 1950, USA
J Nurs Adm 40:440-7. 2010
..This multihospital study determined the contributors to patient/family satisfaction levels with nurses' call light responsiveness and compared the reasons for call light usage as perceived by patients and nurses...
Exploring the relationship between patient call-light use rate and nurse call-light response time in acute care settingsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint 48502 1950, USA
Comput Inform Nurs 29:TC75-80. 2011
..This suggests that the nursing care activity level on the unit and number of call-light alarms could affect nurse call-light response time, independently of the number of nurses available to respond...
Link between patients' perceptions of their acute care hospital experience and institutions' injurious fall ratesHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI 48502 1950, USA
J Nurs Care Qual 26:151-60. 2011
..The results showed that the higher the inpatient satisfaction levels with the responsiveness of hospital staff and cleanliness and quietness of the hospital environment, the lower were the injurious fall rates...
Method for technology-delivered healthcare measuresKelli Lee Kramer-Jackman
School of Nursing, University of Kansas, Kansas City, USA
Comput Inform Nurs 29:730-40. 2011
..Background information and Method for Technology-delivered Healthcare Measures steps are detailed...
Triangulating the extrinsic risk factors for inpatient falls from the fall incident reports and nurse's and patient's perspectivesHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, MI 48502, USA
Appl Nurs Res 24:161-70. 2011
..Similar perspectives were shared on the patient-room-design-associated factors. Patients' concerns focused on their needs not being met in time. Fall prevention should have a priority on addressing patients' needs...
Nurses' caring attitude: fall prevention program implementation as an example of its importanceHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI 48502 1950, USA
Nurs Forum 46:137-45. 2011
..Since October 2008, Medicare has no longer reimbursed acute care hospitals for the costs of additional care required due to hospital-acquired injuries (e.g., injurious falls)...
Exploring the relationship between patient call-light use rate and nurse call-light response time in acute care settingsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, MI 48502, USA
Comput Inform Nurs 29:138-43. 2011
..This suggests that the nursing care activity level on the unit and number of call-light alarms could affect nurse call-light response time, independently of the number of nurses available to respond...
Is there a link between the hospital-acquired injurious fall rates in US acute care hospitals and these institutions' implementation levels of computerized systems?Huey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, University of Michigan Flint, USA
Comput Inform Nurs 29:721-9. 2011
..This effort may further inform policy makers and the public about effective clinical computerized systems provided to clinicians to improve their practice decisions and care outcomes...
Preliminary assessment of appropriateness of emergency care service use: actions taken and consultations obtained before emergency care presentationHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, Michigan 48502 1950, USA
Home Health Care Serv Q 30:10-23. 2011
..This study was unable to differentiate the need for emergency care services or the appropriateness of the advice given by PCPs or HHCPs when the home care patients were under the care of a medical team...
The extrinsic risk factors for inpatient falls in hospital patient roomsHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
J Nurs Care Qual 23:233-41. 2008
..An attributional theory of success and failure was adopted, and a proposed typology was used to elicit data, including 3 dimensions as follows: (a) patient room setting and design, (b) hospital equipment, and (c) manpower concerns...
Nurses' fears and professional obligations concerning possible human-to-human avian fluHuey Ming Tzeng
University of Michigan, School of Nursing, Division of Nursing, Business and Health Systems, Ann Arbor 48109 0482, USA
Nurs Ethics 13:455-70. 2006
..Nurses' fear about an unknown infectious disease, such as the H5N1 influenza virus, could easily be heightened to levels above those occurring during the 2003 severe acute respiratory syndrome outbreak in Taiwan...
A crisis: fear toward a possible H5N1 pandemicHuey Ming Tzeng
School of Nursing, Division of Nursing Business and Health Systems, University of Michigan, Ann Arbor, MI 48109, USA
J Nurs Care Qual 23:177-83. 2008
..For students, the perceived possibility of avian flu being a threat to humans contributed to their personal fear. With sufficient, up-to-date information, unnecessary fear, and/or panic can be avoided...
Adding additional grab bars as a possible strategy for safer hospital staysHuey Ming Tzeng
Division of Nursing Business and Health Systems, The University of Michigan, School of Nursing, Ann Arbor, MI 48109 0482, USA
Appl Nurs Res 23:45-51. 2010
..The optimum grab bar and handrail configurations require further research. Revisions to guidelines for health care facilities related to grab bars and handrails should allow a range that respond to age- and disability-specific needs...
Nursing staff's awareness of keeping beds in the lowest position to prevent falls and fall injuries in an adult acute surgical inpatient care settingHuey Ming Tzeng
College of Nursing, Washington State University, Spokane, WA, USA
Medsurg Nurs 21:271-4. 2012
..This qualitative study used pre-existing nurse interview data and confirmed nurses' awareness of the importance of keeping patient beds in the lowest position. Lowering the bed helps promote patient safety and prevent falls...
Patient falls and open visiting hours: a case study in a Taiwanese medical centerHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, The University of Michigan, Ann Arbor, Mich, USA
J Nurs Care Qual 22:145-51. 2007
..The activities of the accompanying family members/aides when patients fell were analyzed. More than 35% of the family members/aides who were watching patients were ineffective in preventing the falls...
A feasibility study of providing folding commode chairs in patient bathrooms to reduce toileting-related falls in an adult acute medical-surgical unitHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, Michigan 48502, USA tzeng
J Nurs Care Qual 26:61-8. 2011
..15), and appropriate (mean = 8.55). Providing a commode chair in each bathroom as an intervention in a multifaceted fall-prevention program is recommended to increase accessibility and efficiency in patient care delivery...
Nurses' solutions to prevent inpatient falls in hospital patient roomsHuey Ming Tzeng
University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, Ann Arbor, MI, USA
Nurs Econ 26:179-87. 2008
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No safety, no quality: synthesis of research on hospital and patient safety (1996-2007)Huey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, Michigan 48109, USA
J Nurs Care Qual 22:299-306. 2007
..The developed consensus system may help scholars and clinicians identify studies to be done, examine trends in the research on hospital safety, and advance the knowledge in this field...
What's our philosophy?Huey Ming Tzeng
The University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, Ann Arbor, MI 48109 0482, USA
J Prof Nurs 24:5-6. 2008
Inpatient falls: the impact of family and personal caregiversHuey Ming Tzeng
Division of Nursing Business and Health Systems, University of Michigan, School of Nursing, Ann Arbor, MI 48109, USA
Appl Nurs Res 22:159-65. 2009
..Nurses in Taiwan tend to depend on family members to help provide patient care. Regardless of whether an inpatient has a family member present, frequent bedside nursing visits are important to prevent falls...
The relationship of the hospital-acquired injurious fall rates with the quality profile of a hospital's care delivery and nursing staff patternsHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI, USA
Nurs Econ 29:299-306; quiz 307. 2011
..Additionally, more total nursing personnel FTEs per 1,000 discharges and a higher percentage of RN FTEs by total nursing personnel FTEs would not result in better patient outcomes...
Nurses' response time to call lights and fall occurrencesHuey Ming Tzeng
Department of Nursing, School of Health Professions Studies, The University of Michigan Flint, Flint, MI, USA
Medsurg Nurs 19:266-72; quiz 273. 2010
..Nurses respond to fallers' call lights more quickly than they do to lights initiated by non-fallers. The nurses' responsiveness to call lights could be a compensatory mechanism in responding to the fall prevalence on the unit...
Said another way: seeing the nursing profession from a different perspective: nurstry? Why not!Huey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, MI, USA
Nurs Forum 42:185-8. 2007
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Religious activities of inpatients and their family visitors in TaiwanHuey Ming Tzeng
School of Nursing, Division of Nursing Business and Health Systems, University of Michigan, Ann Arbor, MI 48109 5482, USA
J Holist Nurs 26:98-106. 2008
..These activities may be a proxy measure for religious coping with health problems...
Crisis management systems: staff nurses demand more support from their supervisorsHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, The University of Michigan, Ann Arbor, MI 48109 0482, USA
Appl Nurs Res 21:131-8. 2008
..Crisis management systems include strategic, technical/structural, assessment, public communication, and psychological/cultural aspects...
Relationship between call light use and response time and inpatient falls in acute care settingsHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, 400 North Ingalls, Room 4156, Ann Arbor, MI 48109, USA
J Clin Nurs 18:3333-41. 2009
..This exploratory study used archived hospital data to determine whether the call light use rate and the average call light response time contribute to the fall and the injurious fall rates in acute care settings...
Inpatient falls in adult acute care settings: influence of patients' mental statusHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, The University of Michigan, Ann Arbor, Michigan, USA
J Adv Nurs 66:1741-6. 2010
..This paper is a report of a study of fallers' mental status as one of the patient-related intrinsic risk factors for falls...
Innovation in patient safety: a new task design in reducing patient fallsHuey Ming Tzeng
School of Nursing, The University of Michigan, Ann Arbor, MI 48109, USA
J Nurs Care Qual 23:34-42. 2008
..It is assumed that when patients' conditions are comparable, using the prone position is safer. When the prone position is used, if patients lose their balance, they will fall back to the surface of beds...
Perspectives of patients and families about the nature of and reasons for call light use and staff call light response timeHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI, USA
Medsurg Nurs 20:225-34. 2011
..Participants believed answering call lights should be a priority among patient care tasks as a critical aspect of nursing staff roles...
Understanding the prevalence of inpatient falls associated with toileting in adult acute care settingsHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
J Nurs Care Qual 25:22-30. 2010
..Nurses should focus on safe patient transfers and on using the completed risk assessment and should develop an individualized prevention plan for each patient based on their needs...
Perspectives of staff nurses of the reasons for and the nature of patient-initiated call lights: an exploratory survey study in four USA hospitalsHuey Ming Tzeng
The University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, 400 North Ingalls, Room 4156, Ann Arbor, MI 48109, USA
BMC Health Serv Res 10:52. 2010
..It also explored differences among hospitals and identified significant predictors of the nature of call light use...
Are call light use and response time correlated with inpatient falls and inpatient dissatisfaction?Huey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, University of Michigan, Ann Arbor, MI 48109, USA
J Nurs Care Qual 24:232-42. 2009
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Keeping patient beds in a low position: an exploratory descriptive study to continuously monitor the height of patient beds in an adult acute surgical inpatient care settingHuey Ming Tzeng
Department of Nursing, School of Health Professions and Studies, The University of Michigan Flint, Flint, MI, USA
Contemp Nurse 41:184-9. 2012
..g., staff were working with the patient). Further research is warranted. Falls committees may conduct high-bed prevalence surveys in a regular basis as a proxy to monitor staff members' behaviors in keeping beds in a high position...
Glycaemic index knowledge and use among African Americans with type 2 diabetesBeverly Waller
School of Nursing, University of Michigan, Ann Arbor, Michigan, USA
J Adv Nurs 67:1102-8. 2011
..This exploratory pilot study investigated the extent to which African Americans with type 2 diabetes receive information on the glycaemic index and their knowledge of the index and use of this information...
Effective assessment of use of sitters by nurses in inpatient care settingsHuey Ming Tzeng
Division of Nursing Business and Health Systems, School of Nursing, The University of Michigan, Ann Arbor, Michigan, USA
J Adv Nurs 64:176-83. 2008
..This paper is a report of the evaluation of the impact of adopting the Patient Attendant Assessment Tool (PAAT) on nurses' requests for sitters, use of restraints, and falls and fall injury rates...
Integrating quality and safety competencies into undergraduate nursing using student-designed simulationRonald Piscotty
School of Nursing, Oakland University, Rochester, MI 48309, USA
J Nurs Educ 50:429-36. 2011
..001; safety: p = 0.028) and accelerated (knowledge: p = 0.027; safety: p = 0.03) groups increased significantly. The innovation significantly improved students' self-efficacy and knowledge related to the quality and safety competencies...
Historical trends in human resource issues of hospital nursing in the past generationHuey Ming Tzeng
University of Michigan, School of Nursing, Division of Nursing Business and Health Systems, Ann Arbor, MI, USA
Nurs Econ 27:19-25. 2009
..Content analyses were conducted and a typology of human resource issues was developed. Productivity, work content and flow, and occupational hazards were the three most often reported themes...
Medication error-related issues in nursing practiceHuey Ming Tzeng
College of Nursing, Washington State University, Spokane, WA, USA
Medsurg Nurs 22:13-6, 50. 2013
..Professional nurses are more exposed to civil claims for negligence than in the past. Issues related to medication errors, and strategies to decrease them, are addressed...
Toileting-related inpatient falls in adult acute care settingsHuey Ming Tzeng
Washington State University College of Nursing, Spokane, WA, USA
Medsurg Nurs 21:372-7. 2012
..A toileting-related fall was associated with history of a previous fall, use of physical restraints, and risk for falling in hospital settings. This study provided insights to be used to prioritize patient fall prevention strategies...
Exploring the clinical information system implementation readiness activities to support nursing in hospital settingsRonald J Piscotty
School of Nursing, Oakland University, Rochester, MI, USA
Comput Inform Nurs 29:648-56. 2011
..The theme of a lack of vendor support was not identified in previous studies but was clear in the responses of the chief nurse executives interviewed...