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International Journal of Pediatrics
Volume 2010 (2010), Article ID 547528, 9 pages
http://dx.doi.org/10.1155/2010/547528
Research Article

A New Scale for Evaluating the Risks for In-Hospital Falls of Newborn Infants: A Failure Modes and Effects Analysis Study

1Department of Obstetrics and Gynecology, Bayindir Hospital, Ankara, 06200 Sogutozu, Turkey
2Department of Neonatology, Bayindir Hospital, Ankara, 06200 Sogutozu, Turkey
3Department of Quality Management, Bayindir Hospital, Ankara, 06200 Sogutozu, Turkey
4Bayindir Hospital, Ankara, 06200 Sogutozu, Turkey

Received 5 April 2010; Revised 21 July 2010; Accepted 30 August 2010

Academic Editor: Z. A. Bhutta

Copyright © 2010 Faruk Abike et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We aimed to develop a new scale for evaluating risks and preventive measures for in-hospital falls of newborn infants, from admission to discharge of the expectant mother. Our study was prepared in accordance with Failure Modes and Effects Analysis criteria. The risks and preventive measures for in-hospital falls of newborns were determined. Risk Priority Numbers (RPNs) were determined by multiplication of the scores of severity, probability of occurrence, and probability of detection. Analyses showed that risks having the highest RPNs were the mother with epidural anesthesia (RPN: 350 point), holding of the baby at the moment of delivery (RPN: 240), and transportation of baby right after delivery (RPN: 240). A reduction was detected in all RPNs after the application of preventive measures. Our risk model can function as a guide for obstetric clinics that need to form strategies to prevent newborn falls.