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

Figure 3

Risk priority numbers before and after the preventive measures. 12: the mother who is given patient-controlled analgesia (PCA) drops the baby when she stands up by herself while no one is near; 5: infant may slip down from the hands of the doctor during delivery; 8: after having the first medical examination (Apgar scores and general condition fine) the newborn may fall due to turning over of the baby cot while it is being transferred to the baby room to be placed in the incubator in the operating room or in the baby cot in the delivery room; 2: birth may occur by standing up and straining of the patient when the cervix is dilated 5 cm or more; 13: during the day the infant is taken to baby room by the baby nurse for checking vital findings, changing diaper, and doctor’s examinations; 10: the infant cared for and dressed is placed in the baby cot and handed to the mother; 11: the mother picks up the infant to breastfeed it. Risk factors regarding the mother are analyzed; 7: the newborn may fall while it is taken to the newborn care unit for the first medical examination; 14: blood sample of the infant is taken to test for phenylketonuria and/or bilirubin on the day of discharge. While final preparations are being made the infant may slip down from the baby care unit; 15: after the mother is given the necessary instructions and while they are being discharged, the infant may slip down from the mother’s hands; 6: infant may slip down while the umbilical cord is cut; 9: the infant may slip down from the hands of the nurse while it is being transferred to the baby care room in an incubator or baby cot to baby care room; 3: patient may give birth in the preparation room before the doctor arrives; 4: birth may occur while the patient is being transferred to the delivery room; 1: patient is admitted to the service to be prepared for the delivery.