While reviewing high harm events, a Patient Safety Authority analyst noted a report describing the near-death of a newborn after the mother fell asleep with the baby in her arms.
According to the Centers for Disease Control and Prevention, the leading cause of nonfatal injuries in children age 0 to 19 are falls, and from 2004 to 2013 the Patient Safety Authority (PSA) noted a consistent increase in infant safety events—most of which were infant falls.
While analyzing falls reports for a hospital’s pediatric inpatient unit, a nurse manager recognized that the fall rate exceeded the nationwide benchmark for falls with injury.