European Journal of Pediatrics

, Volume 168, Issue 11, pp 1323–1326 | Cite as

Useful methods in preventing accidental falls from the bed in children at the emergency department

  • Tzu-Hui Tung
  • Min-Cih Liu
  • Jia-Yu Yang
  • Wei-Yiu Syu
  • Han-Ping WuEmail author
Original Paper


The aim of this study was to analyze the general characteristics of children in the pediatric emergency department (PED) who accidentally fall off the crib and to establish useful preventive measures. This prospective research analyzed pediatric patients who accidentally fell off their beds in the observational unit (OU) of the PED from July 2005 to June 2006 (first period). From July 2006 to February 2007 (second period), the causes of children falling off the crib in the first year were analyzed and five related preventive methods were instituted in the OU. From July 2007 to March 2008 (third period), the preventive methods were enhanced to achieve zero-event of accidental falls in the PED. The differences between patients falling off the bed among the three periods were then compared. This study collected 7,281 children admitted to the OU during the first period and recorded 15 cases of accidental falls. After performing the preventive methods in 6,232 patients in the second period, three events of accidental falls were noted. In the third period, there was no accident in the 5,225 patients admitted to the PED. Comparing the occurrences of children falling off the bed among the three periods, accidental falls significantly decreased in the third period (p < 0.001). Effective methods can be instituted to prevent children from falling off the bed, especially in the PED.


Prevention Fall Children Emergency department 


Conflict of interest

This study has no financial relationship with the organization that sponsored the research.


  1. 1.
    Agran PF, Anderson C, Winn D et al (2003) Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 111:e683–e692PubMedCrossRefGoogle Scholar
  2. 2.
    Denton S, Mileusnic D (2004) Delayed sudden death in an infant following an accidental fall: a case report with review of the literature. Am J Forensic Med Pathol 25:270Google Scholar
  3. 3.
    Duhamie AC, Alario AJ, Lewander WJ et al (1992) Head injury in very young children: mechanisms, injury types, and ophthalmologic findings in 100 hospitalized patients younger than 2 years of age. Pediatrics 90:179–185Google Scholar
  4. 4.
    Pitone ML, Attia MW (2006) Patterns of injury associated with routine childhood falls. Pediatr Emerg Care 22:470–474PubMedCrossRefGoogle Scholar
  5. 5.
    Reece RM, Sege R (2000) Children head injuries: accidental or inflicted? Arch Pediatr Adolesc Med 154:9–10Google Scholar
  6. 6.
    Reiber GD (2000) Fatal falls in childhood. How far must children fall to sustain fatal head injury? Report of cases and review of the literature. Am J Forensic Med Pathol 21:198–200CrossRefGoogle Scholar
  7. 7.
    Robey-Williams C, Rush KL, Bendyk H et al (2007) Spartanburg fall risk assessment tool: a simple three-step process. Appl Nurs Res 20:86–93PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Tzu-Hui Tung
    • 1
  • Min-Cih Liu
    • 1
  • Jia-Yu Yang
    • 1
  • Wei-Yiu Syu
    • 1
  • Han-Ping Wu
    • 2
    • 3
    Email author
  1. 1.Department of NursingChanghua Christian HospitalChanghuaTaiwan
  2. 2.Department of PediatricsBuddhist Tzu-Chi General HospitalTanzih TownshipTaiwan
  3. 3.Institute of Clinical MedicineNational Yang-Ming UniversityTaipeiTaiwan

Personalised recommendations