Close mobile search navigation Article navigation. Which bed designs and patient characteristics increase bed rail use? Please check for further notifications by email. Patient falls from bed and the role of bedrails in the acute care setting. May 23, Evidence-based practice requires critical appraisal, rather than partial citation.
It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Inevitably, these studies cannot provide information on the injuries which might have occurred if the devices had not been used, and few provide data to assess how frequently such injuries occur; one UK study [ 14 ] suggests deaths linked to bedrail entrapment in hospitals have been reported at the rate of around one per 20 million admissions, with minor direct injuries from bedrails estimated at 1, per 10 million admissions. I agree to the terms and conditions. Effectiveness of surface coatings containing silver ions in bacterial decontamination in a recovery unit. Falls rates were standardised from the data presented as falls per 1, occupied bed days. Implications for a Professional Nursing Staff.
So why the current negative view of bedrail use? Oxford University Press is a department nnpsa the University of Oxford. For more information, contact us at patients cpsi-icsp.
Continue group pre 1. Sixteen such studies [ 1451—65 ] were included.
Receive exclusive offers and updates from Oxford Academic. Details of quality criteria met by individual studies are presented in appendix 2 see supplementary data on the Journal’s website http: No NPSA publications have been updated since the closure of the agency inwith the exception of key actions still relevant to the Never Liteeature policy and framework.
The five retrospective surveys of falls from bed can only provide information on the likelihood of injury once a fall has occurred, but none supported the current orthodoxy that injury is more likely in falls with bedrails because patients will climb over them and fall from a greater height. In addition to effects on falls and injury, any other potential harms or benefits of bedrail use merit investigation, as does the effect of different bedrail designs, partial compared to full bedrails, alternatives to bedrails, and the role of policy or decision tools to support staff in assessing the risks and benefits of bedrail use for individual patients.
Continue reveiw pre 1. There appear to be a number of interlocking issues that influence practitioners and policy makers.
Canadian Patient Engagement Network
Retrospective cohort study comparing reported falls for patients with bilateral bedrails with patients with partial or no bedrails, utilising patient characteristic data collected in an earlier body restraint reduction study. Despite the weak methodological quality of many of the studies, the evidence presented in this review does not support the prevailing orthodoxy that bedrails increase the likelihood of falls and injury, or that bedrails result in an inherent risk of fatal entrapment.
States serious injuries too few for statistical analysis. The project will develop a new system to better support the NHS to learn about what goes wrong in healthcare, and provide learning resources to support safety improvement. Because a perceived risk of falls is the nurses’ main rationale for providing bedrails [1, 4, 5], it is unsurprising to find that patients provided with bedrails are older, less mobile, more cognitively impaired and more likely to be incontinent than patients who are not provided with bedrails [1, 2, 1367—69].
View large Download slide. Implications for a Professional Nursing Staff.
Learning from patient safety incidents
Bde of our current reporting and alerting functions can be found below. Canadian Patient Engagement Network. Help us improve this website Do not include any personal, sensitive or confidential information. The project encouraged placing beds against the wall, so some of the reduction in bilateral bedrail use occurred where one side of the bed was against the wall and one bedrail was in use on the other side of the bed, rather than in situations where free access was left on one side of the bed.
Which bed designs and patient characteristics increase bed rail use?
The methods employed conformed to the principles set out in Quality of Reporting of Meta-analyses guidance . Five such studies were identified; [ 745—48 ] all succeeded in reducing bedrail use.
Negative opinion may relate to an assumption that patients dislike bedrails. This is important not only for accurate interpretation, but to ensure we continue to encourage improvements in identifying and sharing information about patient safety incidents.
Increase in falls significant: Meta-analysis was not attempted, as a recent meta-analysis on falls prevention in institutions identified very few papers where standardised outcome data could be extracted . Follow the instructions to create a login and profile can be linked with LinkedIn then explore the many resources to help you achieve your goals.
Systematic reviews of health effects of social interventions: Mean length of stay Two of these studies [ 4546 ] tracked individual nursing home residents, whose deteriorating health and mobility over one [ 45 ] or two years [ 46 ] potentially confounded the findings. Sign In literaature Create an Account. Five such studies were identified; [ 745—48 ] all succeeded in reducing bedrail use.