title: Changes in bedrail prevalence during a bedrails-reduction initiative.
abstract: OBJECTIVE
  To examine the prevalence of bedrails and observe whether use of bedrails can be decreased during a bedrails-reduction initiative.
  
  
  METHODS
  A serial, cross-sectional, observational study of bedrail use.
  
  
  METHODS
  An 816-bed not-for-profit nursing facility with academic affiliation and closed medical staff. Median age of residents was 88.1 (range 62-108); 74% were women and 26% were men.
  
  
  METHODS
  Observed use of bedrails with classification of bedrail configurations into Enclosure Levels based on percentage of bedsides enclosed; serial census of bedrail use during a restraint-reduction effort.
  
  
  RESULTS
  Bedrail configurations fell into five Enclosure Levels based on percentage of the bed enclosed. Over 9 months, total bedrail prevalence increased from 50 to 56%; however, the highest Enclosure Levels decreased from 7.7 to 3.9%.
  
  
  CONCLUSIONS
  Bedrail configurations can be placed on a continuum of enclosure, and highest Enclosure Levels can be decreased during a bedrails-reduction program.
authors.affiliation: Kings Harbor Multicare Facililty, Bronx, NY, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Levine
authors.forename: M
authors.initials: M
authors.lastname: Hammond
authors.forename: V
authors.initials: V
authors.lastname: Marchello
authors.forename: B
authors.initials: B
authors.lastname: Breuer