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By Beatrice Townsend. Bedding. Published at Thursday, September 20th, 2018 - 01:08:07 AM.

There has been little study or publication about the risks and benefits of bed rails. However, the reports of adult deaths and injuries from bed rails on file with the U.S. Consumer Products Safety Commission (CPSC) (incidents from 1993 to 1996) provide significant information for attorneys investigating a potential negligence claim. The CPSC information reflects that seventy-four patients died as a result of the use of bed rails. Moreover, it in not unrealistic to conclude that the actual number of patient deaths far exceeded the reported deaths. Regardless of the true frequency of deaths, 70% of the reported patient deaths resulted from entrapment between the mattress and the bed rail such that the patient’s face was pressed against the mattress. 18% percent of the reported deaths were the result of entrapment and compression of the neck within the bed rails. Finally, 12% twelve percent of the reported deaths were caused by being trapped by the rails after sliding partially off the bed, resulting in neck flexion and chest compression.

"Most hotel chains don‘t keep track because the number is so insignificant," said Joe McInerney of the American Hotel & Lodging Association said at the 2006 International Bed Bug Symposium when asked about the growing number of bed bug complaints in the hospitality industry. He noted that there are more than 4.4 million hotel rooms in the U.S., adding "you could count the number of cases per day on one or two hands." Yet according to a 2004 survey of pest control professionals by Pest Control Technology magazine, hotels and motels were the most common sites of bed bug infestations, accounting for more than one-third of bed bug complaints. In a recent survey, one company reported that 24% of their 700 client hotels required bed bug treatments between 2002 and 2006. Brooke Ferencsik, spokesman for popular hotel review site TripAdvisor.com told USA Today, "We get a steady stream of bed bug reports and have hundreds of reviews" mentioning them. "Even if travelers aren‘t experiencing [bed bugs], they‘re becoming more aware and are looking out for them."

The second source of significant information comes from the U.S. Food and Drug Administration. The FDA issued a Safety Alert in August of 1995 regarding the entrapment hazards and safety concerns which accompany the use of bed side rails. The Safety Alert was communicated to hospital administrators, hospital associations, nursing homes, risk managers, bio-medical/clinical engineers, and directors of nursing. The Alert was not specific to any one manufacturer or particular design of side rail but warned health care providers that the FDA had received 102 reports of head and body entrapment incidents involving side rails between 1990 and 1995. The 102 reports of entrapment resulted in 68 deaths, 22 injuries, and 12 entrapments without injury. These unfortunate events occurred in hospitals, nursing homes, and private homes. The majority of the entrapments involved elderly patients.

Bed side rails have been in existence for years and are manufactured by several different companies with numerous configurations and designs. A quick search of the Internet discloses a number of medical supply companies which manufacture and sell these products. The most common bed rail designs include full-length rails, three-quarter-length rails, half-length rails, quarter-length rails, and split-rail configuration (often the most dangerous design). Bed rails are used extensively in hospitals and nursing homes. In hospitals, their use is typically a nursing decision rather than based upon a physician’s order. However, in nursing homes, Federal regulations require a physician’s order if bed rails are to be used, as the regulations recognize side rails as a form of restraint. Notwithstanding the requirement for nursing homes, physician’s orders are often not obtained because of the belief that bed rails are simply a safety device. This is a misconception: bed rails often cause injury or death.


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