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Sentinel Event Alert, Issue 27: Bed rail-related entrapment deaths

September 6, 2002
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sea 27 bedrailSince 1995, the Joint Commission has received reports of seven deaths or injuries related to bed rails; three of these reports were from hospitals, two were from long term care facilities, one was from a behavioral health care facility, and one involved a patient receiving home care services. JCAHO has root cause analysis information only for the five incidents that occurred in hospitals and long term care facilities, and this Alert will report information derived from those five cases.  
 

 
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