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Published on: February 5, 2019
Insights
Implementing new guidelines and risk-prevention strategies, including bedside cots, significantly reduced infant falls in maternity wards. This initiative improved patient safety and is now expanding across the trust.
Area of Science:
- Healthcare Quality Improvement
- Patient Safety in Obstetrics
- Pediatric Fall Prevention
Background:
- 17 infant falls occurred within a 12-month period at Nottingham University Hospitals Trust.
- Two infants sustained injuries due to these falls.
- Existing patient safety protocols required enhancement to address infant falls.
Purpose of the Study:
- To develop and implement a comprehensive guideline for preventing and managing infant falls in maternity wards.
- To reduce the incidence of infant falls and associated injuries.
- To integrate fall prevention strategies into the trust's patient safety program.
Main Methods:
- Data collection on infant falls and their circumstances.
- Development of a guideline for infant fall prevention and management.
- Implementation of risk-prevention strategies: risk assessment and bedside cot installation.
Main Results:
- A significant reduction in the number of infant falls was observed following strategy implementation.
- Risk assessment identified mothers requiring closer observation.
- Installation of bedside cots proved effective in preventing falls.
Conclusions:
- The developed guideline and implemented strategies effectively reduced infant falls.
- Risk assessment and bedside cots are key components of successful infant fall prevention.
- The successful strategies are being adopted across all maternity units within the trust.
Abstract:
During a 12-month period there were 17 baby falls on the maternity wards at Nottingham University Hospitals Trust; two of the babies who fell were injured. By collecting information about the baby falls and how they happened, we were able to compile a guideline for both preventing and managing baby falls. This formed part of the trust's patient safety programme. We then piloted and implemented risk-prevention strategies for baby falls. These involved a risk assessment to identify women needing closer observation and the installation of bedside cots. These strategies brought about a marked reduction of baby falls and are now being established across all the maternity units across the trust.
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