Falls in an acute hospital and their relationship to restraint use

Background Patient falls area common complication of hospitalisation. Use of restraints in patients who are perceived to beat risk for falling may lead to injury and even death.Aims To determine the frequency of falls and fall-related injuries and the contribution of restraints in a hospital population.Methods We analysed incident reports of falls for a single year from a large teaching hospital.Results The fall rate per 10,000 patient days was 13.2 (95%Cl 11.6-14.8). Fall rate increased dramatically with increased age. Eighty-two (30.7%) falls resulted in injury, of which 6 (7.3%) were serious. Injuries occurred in 71 247 (29%) unrestrained falls and in 11 20 (55%) falls in patients who were restrained. Injuries were more severe in falls with restraints in place (p0.0001).Conclusions Restraint use is associated with increased severity of injury in hospital patients who fall.