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Changes in bedrail prevalence during a bedrails-reduction initiative
J M Levine1, M Hammond, V Marchello
1Kings Harbor Multicare Facililty, Bronx, NY, USA.
Objective:
To examine the prevalence of bedrails and observe whether use of bedrails can be decreased during a bedrails-reduction initiative.
Design:
A serial, cross-sectional, observational study of bedrail use.
Patients And Setting:
An 816-bed not-for-profit nursing facility with academic affiliation and closed medical staff. Median age of residents was 88.1 (range 62-108); 74% were women and 26% were men.
Measurements:
Observed use of bedrails with classification of bedrail configurations into Enclosure Levels based on percentage of bedsides enclosed; serial census of bedrail use during a restraint-reduction effort.
Results:
Bedrail configurations fell into five Enclosure Levels based on percentage of the bed enclosed. Over 9 months, total bedrail prevalence increased from 50 to 56%; however, the highest Enclosure Levels decreased from 7.7 to 3.9%.
Conclusions:
Bedrail configurations can be placed on a continuum of enclosure, and highest Enclosure Levels can be decreased during a bedrails-reduction program.
