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Preventing Newborn Falls While Supporting Family Bonding
Abstract
In Brief The Pennsylvania Patient Safety Reporting System is a confidential, statewide Internet reporting system to which all Pennsylvania hospitals, outpatient-surgery facilities, birthing centers, and abortion facilities must file information on incidents and serious events. Safety Monitor is a column from Pennsylvania's Patient Safety Authority, the authority that informs nurses on issues that can affect patient safety and presents strategies they can easily integrate into practice. For more information on the authority, visit www.patientsafetyauthority.org. For the original article discussed in this column or for other articles on patient safety, click on “Patient Safety Advisories” and then “Advisory Library” in the left-hand navigation menu. The author addresses the circumstances behind newborn falls in hospitals when infants are in the care of family members, and reports on steps hospitals are taking to effectively prevent these accidents.
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“Nurses focused on safety as an educational priority, specifically safe sleep (Kellams et al., 2017) and preventing infant falls (Hantske, 2015; Wallace, 2015), which reflected the influence of national safety initiatives on nursing practice (Bittle et al., 2019; Bombard et al., 2018).”
From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Wallace, 2015
Citations
Cites
Moon RY.
(2011) · SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment Pediatrics
Unresolved
Cited by
Newborn Safety Bundle to Prevent Falls and Promote Safe Sleep
Lipke, B., Gilbert, G., Shimer, H., Consenstein, L., Aris, C., Ponto, L., Lafaver, S., & Kowal, C. (2017) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000402 · Cited by 43
White, K. A., Fetter, M. E., & Ruth-Sahd, L. A. (2018) · Nurse Educator · doi:10.1097/nne.0000000000000625 · Cited by 42
Scoping Review of Postpartum Discharge Education Provided by Nurses
McCarter, D., Law, A. A., Cabullo, H., & Pinto, K. (2022) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2022.03.002 · Cited by 40
Fostering Clinical Reasoning in Nursing Students
Koharchik, L. S., Caputi, L., Robb, M., & Culleiton, A. L. (2015) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000459638.68657.9b · Cited by 36
In-hospital Neonatal Falls: An Unintended Consequence of Efforts to Improve Breastfeeding
Driscoll, C. A. H., Pereira, N. M., & Lichenstein, R. (2018) · PEDIATRICS · doi:10.1542/peds.2018-2488 · Cited by 31
Newborn Falls in a Large Tertiary Academic Center Over 13 Years
Loyal, J., Pettker, C. M., Raab, C., O’Mara, E., & Lipkind, H. S. (2018) · Hospital Pediatrics · doi:10.1542/hpeds.2018-0021 · Cited by 28
Tedesco-Schneck, M. (2018) · Nurse Educator · doi:10.1097/nne.0000000000000626 · Cited by 24
A System-Wide Approach to Prevention of In-Hospital Newborn Falls
Carr, H., Crotto, J., Demirel, S., Fisher, S., Logue, L., Marcott, M., Miller, L. R., Mochnal, M., & Scheans, P. (2019) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000516 · Cited by 21
Hakala, M., Kaakinen, P., Kääriäinen, M., Bloigu, R., Hannula, L., & Elo, S. (2018) · European Journal of Midwifery · doi:10.18332/ejm/93771 · Cited by 14
In-Hospital Newborn Falls Associated With a Sleeping Parent: The Case for a New Paradigm
Duthie, E. A. (2020) · Hospital Pediatrics · doi:10.1542/hpeds.2020-0112 · Cited by 14
Beard, K. V., Gwanmesia, E., & Miranda-Diaz, G. (2015) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000466326.99804.c4 · Cited by 9
Cooray, N., Sun, S. L., Ho, C., Adams, S. E., Keay, L. J., Nassar, N., & Brown, J. K. (2021) · JMIR Pediatrics and Parenting · doi:10.2196/29731 · Cited by 7
Implementing a Maternal Rest Bundle to Prevent Newborn Falls
Karlsson, K., Makatura, J., & Mulkey, D. C. (2021) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1016/j.jogn.2021.06.005 · Cited by 7
Whatley, C., Schlogl, J., Whalen, B. L., & Holmes, A. V. (2022) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2022.06.007 · Cited by 6
Kuok, M. C. I., Chan, W. K. Y., & Kwok, A. W. L. (2021) · Pediatrics & Neonatology · doi:10.1016/j.pedneo.2021.05.027 · Cited by 6
Knipper, N. P., DiCioccio, H. C., & Albert, N. M. (2021) · MCN The American Journal of Maternal/Child Nursing · doi:10.1097/nmc.0000000000000708 · Cited by 3
Better Type 2 Diabetes Self-Management Using Paired Testing and Remote Monitoring
Greenwood, D. A. (2015) · AJN American Journal of Nursing · doi:10.1097/01.naj.0000460698.78499.33 · Cited by 2
Bonus-in-a-Box: Supplemental Evaluation Using Sensory Perceptions in Nursing Education
Quelly, S. B., & Díaz, D. A. (2019) · Nurse Educator · doi:10.1097/nne.0000000000000720 · Cited by 1
Effect of Clinical Reasoning Seminars on Medical-Surgical Specialty HESI Examination Scores
Fugate, S., Hampton, D. C., Ashford, K. B., Welsh, D., & Marfell, J. A. (2020) · Nurse Educator · doi:10.1097/nne.0000000000000963 · Cited by 1
Verklan, M. T. (2021) · The Journal of Perinatal & Neonatal Nursing · doi:10.1097/jpn.0000000000000542 · Cited by 1
In-Hospital Newborn Falls and Near Miss Events: A Need to Report
Ünal, S., Demirel, N., Tokgoz-Cuni, B., İYİGÜN, F., Tekın, Ö. M., & Baş, A. Y. (2023) · American Journal of Perinatology · doi:10.1055/s-0043-1764209 · Cited by 1
Gonçalves, T. A., Gouveia, H. G., Siebert, M. S. D. A. M., & Moraes, M. G. (2020) · Cogitare Enfermagem · doi:10.5380/ce.v25i0.67424
Duthie, E. A. (2025) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0000000000001601
Birkinshaw, H., Owens, A. R., Gilchrist, A. C., Barrows, J., & Lusk, J. (2026) · Pediatric Quality and Safety · doi:10.1097/pq9.0000000000000836
Metadata
- Authors
- Wallace, S. C.
- Corresponding author
- Wallace, Susan C.
- Venue
- AJN American Journal of Nursing
- Published
- 2015-11
- Volume
- 115
- Issue
- 11
- Pages
- 58-61
- ISSN
- 0002-936X (ISSN-L)
- OpenAlex
- W2273976973
- Cited by
- 24
- References
- 1
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 5 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 1 · 2015: 3
- FWCI
- 5.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- AJN American Journal of Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- patient safety, family bonding, family-centered care, fall prevention, infant care
- MeSH terms
- Accidental Falls, Analgesics, Cesarean Section, Fatigue, Humans, Infant, Newborn, Maternal Age, Mental Healing, Object Attachment, Parent-Child Relations, Parents, Risk Factors, Rooming-in Care, Patient Safety
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
