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Bedrails Safer Practice Notice

Bedrails Safer Practice Notice
Reference number
0462
Central Alert System (CAS) reference
NPSA/2007/17
Issue date26 February 2007
Action date (if applicable) (date field)28 August 2007
DH Gateway reference
NPSA/2007/17
TypeAlert

This Safer Practice Notice alerts patients and staff about the relative risks of falls and injury with and without bedrails, and how they can reduce these risks.

 

It aims to ensure that bedrails are used, when appropriate, to reduce the risk of patients accidentally slipping, sliding, falling or rolling out of bed, and that bedrails are not used inappropriately as a form of restraint.

 

Between 1 September 2005 and 31 August 2006, the Reporting and Learning System received around 44,000 reports of patients who appeared to have fallen from bed in acute and community hospitals, mental health and learning disability units. Injuries included around 90 patients who fractured their neck or femur, and 11 fatalities.

 

Of these reports, 61 per cent did not state whether bedrails were used; eight per cent  occurred when bedrails were being used; and 31 per cent occurred when they were not. Falls from beds without bedrails were significantly more likely to involve injuries.

 

The National Reporting and Learning Service advises NHS organisations providing adult inpatient care to:

  • produce and implement a policy on bedrails, or ensure their existing policy covers the key areas required within this notice;
  • inform staff about the policy;
  • audit and evaluate its impact; and
  • ensure training for staff who make decisions about bedrails; those who purchase, store, attach or maintain bedrails; or who care for patients using them. 

 

Although the deadline for actions has passed, this guidance remains best practice. It should be followed to prevent future patient safety incidents.
Bedrails safer practice notice
Bedrails safer practice notice - 422 KB 0462 - Bedrails safer practice notice - 2007.02.26 -V1
MHRA bedrails
MHRA bedrails - 525 KB 0046B - MHRA bedrails- 2004-05 - V1
Resources for reviewing or developing a bedrail policy
Resources for reviewing or developing a bedrail policy - 149 KB 0462B - Resources for reviewing or developing a bedrail policy - 2005-3 - V1
Bedrails patient briefing
Bedrails patient briefing - 54 KB 0462A - Bedrails patient briefing - 2005.03 -V1
Bedrails - reviewing evidence
Bedrails - reviewing evidence - 230 KB 0462C - Bedrails - reviewing evidence - 2005.03 - V1
Bedrails draft article for local staff newsletters
Bedrails draft article for local staff newsletters - 423 KB 0462G - Bedrails draft article for local staff newsletters - 2005 - V1
Bedrails survey template
Bedrails survey template - 25 KB 0462F - Bedrails survey template - 2005.03- v1
Bedrails model local policy for adaptation
Bedrails model local policy for adaptation - 147 KB 0462D - Bedrails model local policy for adaptation - 2005.03- v1
Using bedrails safely and effectively in hospitals/mental health units
Using bedrails safely and effectively in hospitals/mental health units - 1.35 MB 0462H - Using bedrails safely and effectively in hospitals/mental health units - V1
Bedrail overnight survey: methods
Bedrail overnight survey: methods - 94 KB 0462I - Bedrail overnight survey: methods - 2005-3 - V1
MHRA device bulletin safe use of bedrails
MHRA device bulletin safe use of bedrails - 2.79 MB 0462J - MHRA device bulletin safe use of bedrails - 2006-12 - V1
Slips, trips and falls in hospital report - Patient Safety Observatory
Slips, trips and falls in hospital report - Patient Safety Observatory - 1.30 MB 0483 - Slips, trips and falls in hospital report - Patient Safety Observatory - 2007 - V1
Bedrails - 1 in 200 fall out of bed - Poster
Bedrails - 1 in 200 fall out of bed - Poster - 469 KB 1009H - Bedrails - 1 in 200 fall out of bed - Poster - 2005-3 - V1
Bedrails - avoid entrapment - Poster
Bedrails - avoid entrapment - Poster - 508 KB 1009G - Bedrails - avoid entrapment - Poster - 2005-3 - V1
Bedrails - 1 in 200 fall out of bed - Poster
Bedrails - 1 in 200 fall out of bed - Poster - 462 KB 1009F - Bedrails - 1 in 200 fall out of bed - Poster - 2005-3 - V1
Bedrails - standard bedrails - Poster
Bedrails - standard bedrails - Poster - 563 KB 1009B - Bedrails - standard bedrails - Poster - 2005-3 - V1
Bedrails - fitting drill
Bedrails - fitting drill - 429 KB 1009E - bedrails - fitting drill - 2005.03- V1
Bedrails - mattress height - Poster
Bedrails - mattress height - Poster - 488 KB 1009C - Bedrails - mattress height - Poster - 2005-3 - V1
Bedrails stop falling
Bedrails stop falling - 563 KB 1009A - Bedrails - stop falling - 2005.03- v1
Bedrails - fitting
Bedrails - fitting - 490 KB 1009D - Bedrails - stop falling - 2005.03- v1
MHRA: Safe use of bed rails
MHRA: Safe use of bed rails - 1.37 MB 1009A1 - Poster from MHRA on safe use of bed rails - 2012.04