Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis

Background: Falling out of hospital beds can reduce patients’ satisfaction, increase their length of stay and mortality, reduce hospital productivity, and increase health system costs. The present research aimed to determine the prevalence of bed falls among inpatients in Iranian hospitals. Methods:...

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Main Authors: Parvaneh Isfahani, Mohammad Sarani, Mina Salajegheh, Somayeh Samani, Aliyeh Bazi, Mahdieh Poodineh Moghadam, Fatemeh Boulagh, Mahnaz Afshari
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Human Factors in Healthcare
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772501425000041
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author Parvaneh Isfahani
Mohammad Sarani
Mina Salajegheh
Somayeh Samani
Aliyeh Bazi
Mahdieh Poodineh Moghadam
Fatemeh Boulagh
Mahnaz Afshari
author_facet Parvaneh Isfahani
Mohammad Sarani
Mina Salajegheh
Somayeh Samani
Aliyeh Bazi
Mahdieh Poodineh Moghadam
Fatemeh Boulagh
Mahnaz Afshari
author_sort Parvaneh Isfahani
collection DOAJ
description Background: Falling out of hospital beds can reduce patients’ satisfaction, increase their length of stay and mortality, reduce hospital productivity, and increase health system costs. The present research aimed to determine the prevalence of bed falls among inpatients in Iranian hospitals. Methods: This study was a meta-analysis. All the articles on the prevalence of bed fall in Iranian hospitals were extracted from five databases as well as the Google Scholar search engine and their quality was assessed. The heterogeneity of the studies was tested using the I2 index and the meta-regression model at the 0.05 significance level. Finally, the Comprehensive Meta-Analysis software analyzed six articles that met the inclusion criteria. Results: Based on the estimation of a random effects model, the prevalence of bed falls in Iranian hospitals was 19.9 % (7.7 %-42.6 %; 95 % CI). The highest prevalence was observed in Kermanshah province in 2014 at 92 % (80.5 %-97.0 %; 95 % CI) and the lowest prevalence was observed in Tabriz in 2015 at 6 % (3.4 %-10.4 %%; 95 % CI). Moreover, there were significant relationships between sample size, average age, and the prevalence of bed falls among inpatients (p < 0.05). Conclusions: The findings indicate that the prevalence of bed falls is high among hospitalized patients in Iran, with considerable implications for patient safety and healthcare costs. Addressing this issue requires targeted interventions focusing on environmental safety, staff training, and patient education to mitigate fall risks effectively.
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spelling doaj-art-19f49a55c7344cdba419f61ab163e7212025-02-07T04:48:32ZengElsevierHuman Factors in Healthcare2772-50142025-06-017100093Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysisParvaneh Isfahani0Mohammad Sarani1Mina Salajegheh2Somayeh Samani3Aliyeh Bazi4Mahdieh Poodineh Moghadam5Fatemeh Boulagh6Mahnaz Afshari7Department of Health Services Management, School of Public Health, Zabol University of Medical Sciences, Zabol, IranDepartment of Public Health, School of Public Health, Zabol University of Medical Sciences, Zabol, IranDepartment of Health Management &amp; policy &amp; economics, Faculty of Management and Information Science, Kerman University of Medical Sciences, Kerman, IranInstructor of Occupational Health Engineering, Department of Occupational Health, School of Public Health, Zabol University of Medical Sciences, Zabol, IranDepartment of Clinical Pharmacy, School of Pharmacy, Zabol University of Medical Sciences, Zabol, IranAssistant Professor of Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, IranSchool of Public Health, Zahedan University of Medical Sciences, Zahedan, IranAssistant Professor of Health Policy, School of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran; Corresponding author at: Saveh University of Medical Sciences, Saveh, Iran.Background: Falling out of hospital beds can reduce patients’ satisfaction, increase their length of stay and mortality, reduce hospital productivity, and increase health system costs. The present research aimed to determine the prevalence of bed falls among inpatients in Iranian hospitals. Methods: This study was a meta-analysis. All the articles on the prevalence of bed fall in Iranian hospitals were extracted from five databases as well as the Google Scholar search engine and their quality was assessed. The heterogeneity of the studies was tested using the I2 index and the meta-regression model at the 0.05 significance level. Finally, the Comprehensive Meta-Analysis software analyzed six articles that met the inclusion criteria. Results: Based on the estimation of a random effects model, the prevalence of bed falls in Iranian hospitals was 19.9 % (7.7 %-42.6 %; 95 % CI). The highest prevalence was observed in Kermanshah province in 2014 at 92 % (80.5 %-97.0 %; 95 % CI) and the lowest prevalence was observed in Tabriz in 2015 at 6 % (3.4 %-10.4 %%; 95 % CI). Moreover, there were significant relationships between sample size, average age, and the prevalence of bed falls among inpatients (p < 0.05). Conclusions: The findings indicate that the prevalence of bed falls is high among hospitalized patients in Iran, with considerable implications for patient safety and healthcare costs. Addressing this issue requires targeted interventions focusing on environmental safety, staff training, and patient education to mitigate fall risks effectively.http://www.sciencedirect.com/science/article/pii/S2772501425000041Falling out of bedInpatientsMeta-analysisIran
spellingShingle Parvaneh Isfahani
Mohammad Sarani
Mina Salajegheh
Somayeh Samani
Aliyeh Bazi
Mahdieh Poodineh Moghadam
Fatemeh Boulagh
Mahnaz Afshari
Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
Human Factors in Healthcare
Falling out of bed
Inpatients
Meta-analysis
Iran
title Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
title_full Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
title_fullStr Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
title_full_unstemmed Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
title_short Prevalence of bed falls among inpatients in Iranian hospitals: A meta-analysis
title_sort prevalence of bed falls among inpatients in iranian hospitals a meta analysis
topic Falling out of bed
Inpatients
Meta-analysis
Iran
url http://www.sciencedirect.com/science/article/pii/S2772501425000041
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