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Learning From Quality Improvement Initiatives for In-hospital Newborn Falls Prevention From a Sleeping Mother: A
1Author Affiliations: Director of Patient Safety, Montefiore Medical Center; and Assistant Professor in Obstetrics/Gynecology, Albert Einstein College of Medicine, Bronx, New York.
The Journal of Nursing Administration
|July 16, 2025
Abstract:
Newborns experiencing skull fractures and brain bleeds after a fall from a slumbering mother generate a clinical crisis necessitating urgent resolution. Studies spanning 15 years inferred newborn falls from a sleeping mother as preventable, although aggregate data contradict this conclusion. An analysis of the literature identifies impediments to progress and ramifications for quality improvement leaders.
