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Published on: January 29, 2011
Accidents on hospital wards
1Child Accident Prevention Trust, London.
Insights
Most non-iatrogenic accidents in children under 16 involved boys and toddlers, often due to falls. These hospital accidents were rarely serious, but highlight areas for preventative safety improvements.
Area of Science:
- Pediatric Safety
- Hospital-Acquired Conditions
- Accident Prevention
Background:
- Non-iatrogenic accidents pose risks to pediatric patients and visitors in hospital settings.
- Understanding accident patterns is crucial for developing effective safety interventions.
Purpose of the Study:
- To analyze the incidence and characteristics of non-iatrogenic accidents in children under 16 years old.
- To identify common accident types, demographics, and circumstances to inform preventative strategies.
Main Methods:
- Retrospective data collection from eight hospitals over an 18-month period.
- Analysis of 781 reported non-iatrogenic accidents involving patients and visitors under 16.
Main Results:
- Accidents were more frequent in boys and children aged 3-5 years.
- Common incidents included falls, slips, and striking accidents; 41% of inpatient accidents occurred with parents present.
- Only three accidents were serious, with 27% involving beds/cots.
Conclusions:
- Routine data collection can aid accident prevention efforts in hospitals.
- Falls from beds/cots and use of makeshift equipment are key areas for safety improvements.
Abstract:
Eight hospitals reported 781 non-iatrogenic accidents occurring to patients and visitors under 16 years of age during an 18 month period up to October 1989. Accidents more often involved boys and children aged 3 to 5 years old. Falls from a height, slips, and striking accidents were common by day and falls by night. A total of 41% of accidents to inpatients occurred when parents were present. Only three accidents were serious. Altogether 27% involved beds and cots, and only one consequent injury was more than minor. Data collected routinely in case of medicolegal action can be presented in a form that may facilitate preventative work. Potentially remediable causes for concern include falls from beds and cots and the use of makeshift equipment.
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