Falls in an acute hospital and their relationship to restraint use

Tan, Kit Mun; Austin, Brad; Shaughnassy, M.; Higgins, C.; McDonald, M.; Mulkerrin, E. C.; O'Keeffe, Shaun T

doi:10.1007/bf03169144

Cited by 41 publications

(26 citation statements)

References 15 publications

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“…This is consistent with regulations from the State Department of Health that having four bed rails up is considered restraint of the patient. The usage of bed rails as a restraint can lead to patient injury (Parker & Miles, 1997;Tan, Austin & Shaugnassy, 2005). A one-on-one observer was used rather than restraints when necessary.…”

Section: Methodsmentioning

confidence: 99%

Falls on an Inpatient Rehabilitation Unit: Risk Assessment and Prevention

Forrest

Huss

Patel

et al. 2012

Rehabilitation Nursing

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Section: Methodsmentioning

confidence: 99%

Falls on an Inpatient Rehabilitation Unit: Risk Assessment and Prevention

Forrest

Huss

Patel

et al. 2012

Rehabilitation Nursing

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“…Tan et al reported restraint use to be associated with higher fall risk and increased severity of injuries among elderly inpatient fallers. (34) Capezuti et al reported that the use of restraints was also not shown to be associated with a reduction in fall risk or injuries among nursing home residents, and discouraged the use of restraints to promote immobility in an effort to reduce falls. (35) This is further supported in a later study where Capezuti et al found that the removal of restraints did not increase fall risk or subsequent injuries from falls in nursing home residents.…”

Section: Na: Not Availablementioning

confidence: 99%

Comparison between elderly inpatient fallers with and without dementia

Lim¹,

Mamun²,

Lim³

2014

smedj

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INTRODUCTIONThis study aimed to examine the various factors associated with inpatient falls among patients with and without dementia in a hospital setting. METHODSThis was a retrospective one-year study using data collected from Singapore General Hospital's electronic reporting system for inpatient falls. RESUlTSIn the study period, 298 patients aged ≥ 65 years fell during their hospital stay. The majority of the patients (n = 248) did not have dementia. In our study, fallers with dementia were more likely to use ambulatory aids, be visually impaired and have urinary incontinence. More patients with dementia than those without had a history of previous falls, and were placed on fall precaution with restricted freedom of movement, which at times, included restraints. However, the difference between patients who were put on restraints and those who were allowed to move freely was not statistically significant. The majority of falls in both groups occurred at the bedside. We found that fallers without dementia were more likely to fall during the morning shift, whereas fallers with dementia were more likely to fall during the night shift. Fallers with dementia were more likely to be confused at the time of the fall. CONClUSIONIn our study, we found that fallers with dementia were more likely to have visual impairment, have urinary incontinence, use walking aids, and to be confused and physically restrained at the time of the fall. The fallers without dementia in our study may have undiagnosed dementia.

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“…The effect of bedrails on falls and injury SIR-In their helpful review of the literature on bedrails, Healey and colleagues [1] suggest that none of the retrospective surveys of falls from bed showed that injury was more likely in falls with bedrails. While accepting the intrinsic deficits of such surveys, it should be noted that our study did show such an effect [2]. I also find the data reported from the National Reporting and Learning System less reassuring than the authors: while minor head injuries were convincingly increased with falls from beds without rails, both of the subdural haematomas with falls from bed occurred with bedrails raised, and in the random selection of falls analysed, moderate or severe harm only occurred with bedrails raised [3].…”

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confidence: 58%