Electric Beds: Do Not Use in Psychiatric Wards
Hazard [Health Devices Dec 1991;20(12):495-6]
We investigated an incident in which a schizophrenic patient in a
psychiatric hospital was found crushed to death beneath his pedestal-style electric bed.
His head and neck were crushed within the frame of the bed, which was equipped with a
functioning walk-away down control. We believe that the use of electric beds in
psychiatric wards is unnecessary and hazardous, and we recommend discontinuing this
With all electric beds, the motorized functions for the back and knee
sections, as well as for the adjustable bed height, provide a means of self-injury,
especially in psychiatric locations. Although virtually all electric beds have lockout
switches to disable patient side-rail or pendant controls, these can be easily defeated by
We know of no standards pertaining specifically to the use of electric
beds in psychiatric wards. However, most psychiatric facilities do have their own
guidelines restricting the possession and use of electric appliances with power cords. In
addition to the hazards that electrically powered devices pose, suicidal patients can use
the cords to hang themselves and, perhaps, to hurt others.
ECRI has previously published many articles on the hazards presented by
electric beds in pediatric wards and the risks of the walk-away down feature (see Health
18:323-5, Sep 1989; 16[3-4]:109-10, Mar-Apr 1987;
15:299-316, Nov 1986; 12:203-7, Jun 1983; and 11:302, Sep 1982). In this context, we
also previously noted that a four-poster bed equipped with a walk-away down control is
safe; however, we do not believe that this is true within the psychiatric ward.
We do recognize a possible need for a limited number of electric beds in
acute intensive care units within psychiatric hospitals or psychiatric wards where
patients are not ambulatory. Such patients would be constantly monitored, making the
convenience and therapeutic benefit of the electrically adjustable bed features
justifiable. Nevertheless, few general-care psychiatric patients require an electric bed
for their stay. Unless a psychiatric patient is also being treated for an acute medical or
surgical condition, using electric beds is unnecessary and dangerous.
- Do not use electric beds in psychiatric wards.
- If you are currently using electric beds in
psychiatric wards, replace them. Alternatively, place the bed in its flat,
lowest position and remove the line cord. Also be sure to remove any IV
poles that may be stored within the bed frame.
- In psychiatric intensive care units where electric beds are deemed
necessary, use the nursing controls to lock out the patient controls at all
times, except when the bed is being adjusted by a healthcare provider. Also
ensure that the patient is constantly monitored.
Beds, Electric [10-347]
Cause of Device-Related
User error: Incorrect
Support system failure: Use of inappropriate devices
Mechanism of Injury or Death