BED ALARMS FOR THE PREVENTION OF FALLS IN HOSPITALS: A THREE-ARM, DISINVESTMENT NONINFERIORITY TRIAL

Terry Haines, Debbie Pu, Kelly Stephen, Ronald Shorr · 2024

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Description

Terry Haines and three colleagues run a trial on removing bed alarms from hospital wards, written up in 2024. Bed alarms are standard fall prevention, yet the evidence for them is weak, and dropping low-value care is a health system goal.

Eighteen Melbourne wards joined a three-arm design mixing stepped rollout with cluster randomization. Alarm use was cut to a few percent of beds or removed entirely, and falls were tracked for ten months. Both reduced arms recorded slightly more falls than the high-use control, inside the range of chance but outside the preset safety margin. The trial could not prove removal harmless, though alarms were not proven better either. The authors leave the value question open.

Catalog record

CREATORTerry Haines, Debbie Pu, Kelly Stephen, Ronald Shorr
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE2 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11689755

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