Reducing Inpatient Falls in Children

Published on in CHOP News

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Why is this important?

In the hospital setting, falls can cause a range of injuries, from minor bumps to fractures, bringing additional pain to children and sometimes prolonging hospital stays. As most falls are preventable, a multidisciplinary dedicated team at Children's Hospital of Philadelphia (CHOP) works on implementing measures to keep patients safe from falls. The team noticed that some children were falling because of pajama bottoms which were too long. 

What we did

Better fit pajama pants Fall prevention is part of CHOP’s Harm Prevention Program. The nursing leads of the Falls Prevention team met with the Linen Services Department to discuss options for better fitting hospital clothing. The team worked with vendors to design three pajama bottom prototypes for testing. Patients were asked to try different pairs of pants during their hospital stays and provide feedback to the team. Based on feedback from nurses, patients, and families, a new, tapered pants was approved and implemented. 


From February 2014 to July 2015, there were seven patient falls related to hospital clothing. Since implementation in October 2015, no clothing-related falls have occurred in the Hospital. Thanks to the innovative thinking of the Falls Prevention team, patient clothing is no longer contributing to falls.

Rate of Patient Falls related to patient clothing per 1,000-patient days

There was a 100 percent decrease in the rate of patient falls attributed to clothing following implementation of the new pajama bottoms.

Updated January, 2018

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