![]() The most serious of these have led to injury due to falls and death by asphyxiation as a result of entrapment of the head, neck or chest.įrom 1 January 2018 to 31 December 2022, we received 18 reports of deaths related to bed rails and associated equipment, and 54 reports of serious injuries. For the purpose of this document the term bed rail will be adopted, although other names are often used, for example, bed side rails, side rails, cot sides, and safety sidesĪt the MHRA we continue to receive reports of adverse incidents involving these devices. Introductionīed rails are used extensively in hospitals, care homes and people’s own homes to reduce the risk of bed occupants falling out of bed and injuring themselves. This document is not intended to replace clinical decision making. re-assessing the changing care needs of the bed occupant.correct fitting and positioning of the bed rails initially and after each period of use.taking into account the use environment and possible interaction with any other equipment, accessories or devices present in that environment as part of the risk assessment.checking compatibility of the bed rail, bed, mattress and the needs of the bed occupant.the need for good communication between bed occupant and carers or staff.assessing if a bed rail is necessary and appropriate.It also identifies areas of good practice, such as: This document identifies areas for safe practices, so that policies and procedures can be reviewed and put in place. those responsible for purchasing beds and bed rails.community equipment stores (CES) and loan store managers.carers in the community and care-at-home staff.Medical Device Safety Officers (MDSOs) for onward distribution.This document is aimed at all users, carers and staff with responsibility for the provision, prescription, use, maintenance and fitting of bed rails. For more detail on this see the implementation update on work towards a strengthened future medical devices regime. The government has extended acceptance of CE marked devices in Great Britain. ![]() This publication has been updated to reflect changes in devices and practices, as well as information gained from the investigation of adverse incidents. This document aims to set out best practice in the provision, prescription, use, maintenance and fitting of bed rails. These incidents are concerning as some have led to patient harm or death, primarily from entrapment. ![]() The MHRA is the regulator of medicines, medical devices and blood components for transfusion in the UK, a role which includes overseeing investigations into adverse events and promoting the safe use of devices in the UK.Īt the MHRA we continue to receive reports of incidents relating to bed rails and associated equipment. You can download a PDF version of Safe use of bed rails ( PDF, 562 KB, 32 pages). It replaces previous guidance on the same topic. This web page features the most up-to-date guidance. ![]()
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