Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies

Despite increasing recognition of the potential risks associated with in-hospital newborn falls among health professionals, new parents are frequently unaware of the possibility of dropping their newborn, especially in the hospital. Although most newborn falls do not result in lasting harm to the ne...

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Main Authors: Elizabeth Kukielka, Susan C. Wallace
Format: Article
Language:English
Published: Patient Safety Authority 2019-12-01
Series:Patient Safety
Subjects:
Online Access:https://patientsafetyj.com/index.php/patientsaf/article/view/161
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author Elizabeth Kukielka
Susan C. Wallace
author_facet Elizabeth Kukielka
Susan C. Wallace
author_sort Elizabeth Kukielka
collection DOAJ
description Despite increasing recognition of the potential risks associated with in-hospital newborn falls among health professionals, new parents are frequently unaware of the possibility of dropping their newborn, especially in the hospital. Although most newborn falls do not result in lasting harm to the newborn, they may necessitate additional healthcare services and cause stress to all involved parties. An analysis of reports submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) from January 2014 through December 2018 identified 318 events specifically related to newborn falls in the hospital following birth. An increase in the number and rate of serious newborn fall events reported to PA-PSRS was observed compared with a previous analysis by Wallace. Newborn falls were most commonly associated with a caregiver falling asleep (168 events, or 52.8%) and with newborn feeding (72 events, or 22.6%). Strategies to prevent newborn falls in the hospital include focusing efforts on providing support for exhausted parents during the critical time following the birth, offering periods of rest for new parents whenever they are tired, increasing the frequency of rounding when new mothers are breastfeeding, and promoting a midday break in visiting hours.
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spelling doaj.art-53b365085efc4c02980f88884d2170812023-09-02T08:08:19ZengPatient Safety AuthorityPatient Safety2641-47162019-12-011210.33940/falls/2019.12.5Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention StrategiesElizabeth Kukielka0Susan C. Wallace1Patient Safety AuthorityPatient Safety AuthorityDespite increasing recognition of the potential risks associated with in-hospital newborn falls among health professionals, new parents are frequently unaware of the possibility of dropping their newborn, especially in the hospital. Although most newborn falls do not result in lasting harm to the newborn, they may necessitate additional healthcare services and cause stress to all involved parties. An analysis of reports submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) from January 2014 through December 2018 identified 318 events specifically related to newborn falls in the hospital following birth. An increase in the number and rate of serious newborn fall events reported to PA-PSRS was observed compared with a previous analysis by Wallace. Newborn falls were most commonly associated with a caregiver falling asleep (168 events, or 52.8%) and with newborn feeding (72 events, or 22.6%). Strategies to prevent newborn falls in the hospital include focusing efforts on providing support for exhausted parents during the critical time following the birth, offering periods of rest for new parents whenever they are tired, increasing the frequency of rounding when new mothers are breastfeeding, and promoting a midday break in visiting hours.https://patientsafetyj.com/index.php/patientsaf/article/view/161newborn fall, newborn drop, infant fall, maternal fatigue, breastfeeding, fall prevention
spellingShingle Elizabeth Kukielka
Susan C. Wallace
Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
Patient Safety
newborn fall, newborn drop, infant fall, maternal fatigue, breastfeeding, fall prevention
title Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
title_full Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
title_fullStr Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
title_full_unstemmed Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
title_short Newborn Falls in Pennsylvania: An Analysis of Recent Events and a Review of Prevention Strategies
title_sort newborn falls in pennsylvania an analysis of recent events and a review of prevention strategies
topic newborn fall, newborn drop, infant fall, maternal fatigue, breastfeeding, fall prevention
url https://patientsafetyj.com/index.php/patientsaf/article/view/161
work_keys_str_mv AT elizabethkukielka newbornfallsinpennsylvaniaananalysisofrecenteventsandareviewofpreventionstrategies
AT susancwallace newbornfallsinpennsylvaniaananalysisofrecenteventsandareviewofpreventionstrategies