Falls in an acute hospital and their relationship to restraint use
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Patient falls are a common complication of hospitalisation. Use of restraints in patients who are perceived to be at risk for falling may lead to injury and even death.
To determine the frequency of falls and fall-related injuries and the contribution of restraints in a hospital population.
We analysed incident reports of falls for a single year from a large teaching hospital.
The fall rate per 10,000 patient days was 13.2 (95%Cl 11.6 -14.8). Fall rate increased dramatically with increased age. Eighty-two (30.7%) falls resulted in injury of which 6 (7.3%) were serious. Injuries occurred in 71/247 (29%) unrestrained falls and in 11/20 (55%) falls in patients who were restrained. Injuries were more severe in falls with restraints in place (p<0.0001).
Restraint use is associated with increased severity of injury in hospital patients who fall.
- Morse JM. Enhancing the safety of hospitalisation by reducing patient falls.Am J Infect Control 2002; 30:376–380. CrossRef
- Bates DW, Pruess K, Souney P, Platt R. Serious falls in hospitalised patients: correlates and resource utilisation.Am J Med 1995; 99:137–143. CrossRef
- Braun JA, Capezuti EA. The legal and medical aspects of physical restraints and bed siderails and their relationship to falls and fall-related injuries in nursing homes. DePaul J Healthcare 2000; 4:1–72.
- O’Keeffe ST. Down with bedrails?Lancet 2004; 363:343–344. CrossRef
- Evans D, Hodgkinson B, Lambert L, Wood J, Kowanko I. Fails in Acute Hospitals.www.joannabriggs.edu.au/ protocols/fallsinacute.pdf (accessed 22/11/04)
- Capezuti E, Strumpf N, Evans L, Grisso J, Maislin G. The relationship between physical restraint removal and falls and injuries among nursing home residents.J Cerontol 1998; 53A: M47-M52.
- Hanger HC, Ball MC, Wood LA. An analysis of falls in the hospital: can we do without bedrails?J Am Geriatr Soc 1999; 47:529–31.
- Morris EV, Isaacs B. The prevention of falls in a geriatric hospital.Age Ageing 1980; 9:181–185. CrossRef
- Hitcho EB, Krauss MJ, Birge S et al. Characteristics and circumstances of falls in a hospital setting: a prospective study.J Gen Intern Med 2004; 19:732–739. CrossRef
- Fall prevention. http://www.premierinc.com/a11/safety/ resources/falls/ (accessed 23/11/04)
- Lane AJ. Evaluation of a fall prevention program in an acute care unit.Orthop Nurs 1999; 18:37–43. CrossRef
- Morgan VR, Mathison JH, Rice JC, Clemmer DI. Hospital falls: a persistent problem.Am J Public Health. 1985; 75(7):775–7. CrossRef
- Brandis S. A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients.J Qual Clin Pract 1999; 19:215–220. CrossRef
- Pulcins I, Wan E. In-hospital hip fractures in Canada. http://www.longwoods.com/hq/HQ74-2004/ HQ74Pulcins.pdf (accessed 23/11/04)
- Isaacs B. The Challenge of Geriatric Medicine. Oxford University Press, Oxford, 1992.
- Oliver D, Daly F, Martin FC, McMurdo ME. Risk factors and risk assessment tools for falls in hospital in-patients: a systematicreview. Age Ageing 2004; 33:122–130. CrossRef
- Brush B, Capezuti E. Historical analysis of siderail use in American hospitals.J Nurs Scholar 2001; 33:381–385. CrossRef
- Myint S, Neufeld R, Dunbar J. Removal of bedrails on a short-term nursing home rehabilitation unit.Gerontologist 1999; 39:611–614.
- Watson R, Brunton M. Restrain yourself.Nurs Elderly 1990; May, 20–21.
- Noone I, Fleming H, Crowe M, O’Keeffe S. Use of cotsides in an Irish hospital.Ir Med J 1998; 91:134–135.
- Raw J, Stacey S. Are the days of bedrails coming to an end? Age Ageing 2004; 33:641. CrossRef
- Falls in an acute hospital and their relationship to restraint use
Irish Journal of Medical Science
Volume 174, Issue 3 , pp 28-31
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors