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Originator: National Patient Safety Alert - MHRA

Issue date: 31-Aug-2023 11:51:52

This alert has been issued to:
  • Care Trusts
  • Mental Health Trusts
  • Specialists Trusts
  • Learning Disabilities Trusts
  • Mental Health & Social Care Trusts
  • Ambulance Trusts
  • Mental Health & Learning Disabilities Trusts
  • Acute Trusts
  • Community Trusts

  • Other contacts
  • Independent Healthcare Providers (registered with CAS)
  • Clinical Commissioning Groups
  • Social Care Providers (registered with CAS)
  • Special Health Authorities
  • Territorial CMOs in Northern Ireland, Scotland & Wales
  • Regional Directors of Public Health
  • Director of Public Health
  • GP - Locum
  • NHS 111 and Out of hours providers
  • GP Practices
  • Primary Care Networks
  • GP Practices 1

Action category: Action

Title: Medical beds, trolleys, bed rails, bed grab handles and lateral turning devices: risk of death from entrapment or falls

Broadcast content:
The MHRA continues to receive reports of deaths and serious injuries from entrapment or falls relating to medical beds, bed rails (also known as bed safety rails), trolleys, bariatric beds, lateral turning devices and bed grab handles (also known as bed levers or bed sticks). Chest or neck entrapment in bed rails is currently listed (number 11; 2018) as a 'Never Event' according to the NHS.

This National Patient Safety Alert provides further background and clinical information and actions for providers.

Additional information: We are sending this alert to GP Practices in case of any support they are providing to patients at home that are using such devices. This alert is not relevant to other Primary Care providers.

Alert reference: NatPSA/2023/010/MHRA

Action underway deadline: 31-Aug-2023

Action complete deadline: 01-Mar-2024


Contact our helpdesk

Email: safetyalerts@mhra.gov.uk

Medicines and Healthcare products Regulatory Agency