Document Detail


Deaths caused by bedrails.
MedLine Citation:
PMID:  9215328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine how bedrails cause death in order to suggest clinical and ergonomic changes to prevent such deaths and to promote research to improve the use and design of bed systems. DESIGN: A review of reports of adult deaths and injuries from bedrails contained in the United States Consumer Product Safety Commission Death Certificate File and its Reported Incidents File and its National Injury Information Clearinghouse Accident Investigations from 1993 to 1996. Deaths involving the use of vest restraints were excluded. We reconstructed, reenacted, and have graphically depicted major patterns of deaths. A review of the literature to 1966 was also done. RESULTS: The 74 deaths described are categorized into three types: (1) 70% were entrapments between the mattress and a rail so that the face was pressed against the mattress, (2) 18% were entrapment and compression of the neck within the rails, and (3) 12% were deaths caused by being trapped by the rails after sliding partially off the bed and having the neck flexed or the chest compressed. CONCLUSIONS: Deaths from bedrails are underrecognized and preventable clinical events that can occur in any medical setting. Preventing these events will require a unified redesign of the relationships between rails, mattresses, and beds, which are now often assembled and used as separate products. Clinicians can prevent many of these deaths by using bedrails much more judiciously, confirming the proper relationships between beds, rails and mattresses, and using alarms.
Authors:
K Parker; S H Miles
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  45     ISSN:  0002-8614     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  1997 Jul 
Date Detail:
Created Date:  1997-07-30     Completed Date:  1997-07-30     Revised Date:  2008-03-10    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  797-802     Citation Subset:  IM    
Affiliation:
Department of Geriatric Medicine, St. Paul Ramsey Medical Center, Minnesota, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Beds*
Consumer Product Safety
Equipment Failure
Female
Humans
Male
Nursing Homes*
Protective Devices / adverse effects*
Restraint, Physical / adverse effects
Wounds and Injuries / mortality*
Comments/Corrections
Comment In:
J Am Geriatr Soc. 1998 Jun;46(6):794   [PMID:  9625205 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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