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. 2000 Jan-Feb;1(1):34-6.

Changes in bedrail prevalence during a bedrails-reduction initiative

J M Levine  1 , M Hammond, V Marchello, B Breuer
Affiliations
  • PMID: 12818046

Changes in bedrail prevalence during a bedrails-reduction initiative

J M Levine et al. J Am Med Dir Assoc. 2000 Jan-Feb.

Abstract

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.

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