. 2022 Nov 1;10(3):1715–1725. doi: 10.1002/nop2.1427

TABLE 1.

First draft of the care bundle for preventing falls in hospitalized children

Dimensions	Items	Evidence level
A Human	Children at high risk are identified (label on ID bands and so on). ^a	IV
	2 The children at high risk are placed in a room close to the nurse′s station. ^a	IV
	3 Caregiver or sitter is at bedside.	IV
	4 Non‐slip footwear is worn when up.	IV
B Environment	1 Keep the door to the room open for children at high risk of falls. ^a	IV
		IV
	2 Beds, cribs, commode and stretchers are kept in the lowest, locked position.	IV
	3 Call lights, telephones and personal articles are placed within reach.	IV
	4 Protective devices, such as side rails, hand rails, bath mats, non‐slip logos, and wheel locks, are used appropriately.	IV
	5 No fluid on the floors and surfaces	IV
	6 The environment is kept uncluttered and free of obstacles.	IV
	7 Adequate lighting is provided.	IV
C Health	Set up fall prevention posters.	IV
	2 Education is provided to the parent or primary caregivers regarding fall risk factors and fall preventive measures.	III
	3 Choose appropriate exercise methods.	IV
D Care	Validated risk assessment tools are used to assess a child′s risk of falls.	IV
	2 The risk assessment should be performed again if the patient′s status changes.	IV
	3 Wards have safety protocols in place.	IV
	4 Medication (i.e. sedation, analgesia, anaesthesia and antihypertensive drugs) administration times are evaluated.	IV
	5 The children at high risk are monitored every hour. ^a	IV
	6 Children are offered assistance to the bathroom or to get out of bed when needed.	IV
	7 Wheelchairs, flat cars and other ambulation assistance are provided where needed.	IV

^{^a}

Specific preventive measures for children at high risk of falling.