Related Experiment Video
Updated: Jul 19, 2026
09:19
Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
Published on: December 9, 2014
Changes in bedrail prevalence during a bedrails-reduction initiative
J M Levine1, M Hammond, V Marchello
1Kings Harbor Multicare Facililty, Bronx, NY, USA.
Journal of the American Medical Directors Association
|June 24, 2003
Summary
This study found that while overall bedrail use increased slightly, a bedrails-reduction initiative successfully decreased the highest levels of bedrail enclosure. This demonstrates that targeted interventions can reduce the most restrictive bedrail configurations.
Area of Science:
- Geriatric Medicine
- Patient Safety
- Nursing Home Care
Background:
- Bedrails are frequently used in nursing facilities, but their use and associated risks are a concern.
- Understanding bedrail prevalence and the impact of reduction initiatives is crucial for improving patient safety.
Purpose of the Study:
- To assess the prevalence of bedrail use in a nursing facility.
- To evaluate the effectiveness of a bedrails-reduction initiative in decreasing bedrail use.
Main Methods:
- A serial, cross-sectional, observational study was conducted over 9 months.
- Bedrail configurations were classified into Enclosure Levels based on the percentage of enclosed bedsides.
- A census of bedrail use was performed during a restraint-reduction effort.
Main Results:
- Total bedrail prevalence increased from 50% to 56% over the study period.
- However, the highest Enclosure Levels (most restrictive) decreased significantly from 7.7% to 3.9%.
Conclusions:
- Bedrail configurations exist on a continuum of enclosure.
- Targeted bedrails-reduction programs can effectively decrease the use of the highest, most restrictive Enclosure Levels.
