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|Title: ||Do split-side rails present an increased risk to patient safety?|
|Authors: ||Hignett, Sue|
Griffiths, Paula L.
|Issue Date: ||2005|
|Publisher: ||© BMJ Publishing Group Ltd.|
|Citation: ||HIGNETT, S. and GRIFFITHS, P., 2005. Do split-side rails present an increased risk to patient safety? Quality and Safety in Health Care, 14, pp. 113-116.|
|Abstract: ||Background: Concerns have been raised about the safety of split-side bed rails for patients in the UK.
Objectives: To investigate whether split-side rails were more likely to be associated with entrapment and
injury of patients than other bed rail types. To establish whether there was a difference in the site of injury
caused by different bed rail types and whether the outcome of the injury (death versus survival) varied by
Methods: A search of the USA Food and Drug Administration MAUDE database was carried out. The
reports were screened using rigorous inclusion/exclusion criteria and then coded for rail type, incident
outcome, and area of body involved.
Results: Split-side rail incidents only accounted for 5% of the reports and were more likely to involve the
chest or pelvis. Although the biggest overall risk by rail type cannot be determined from these data, the
severity of the outcome changed with the equipment type. Incidents involving half rails were more likely to
be associated with head, neck, or face entrapments and were also more likely than other bed rail types to
result in death.
Discussion: Split-side rail entrapments were not a common occurrence. However, our findings suggest that
bed rails are associated with some level of risk of entrapment that potentially could result in death.
Healthcare providers should therefore ensure that they follow the guidelines for risk assessment and rail
use from the MHRA and other professional bodies so that the cultural norm in the UK continues to be ‘‘opt
in’’, where no bed rails are used unless indicated by a documented clinical assessment.|
|Description: ||This article is Closed Access. The article was published in the journal, Quality and Safety in Health Care [© BMJ Publishing Group Ltd.] and is available at: http://qshc.bmj.com/cgi/content/full/14/2/113|
|Appears in Collections:||Closed Access (Sport, Exercise and Health Sciences)|
Closed Access (Design School)
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