PDF, 962KB, 33 pages). 1. Summary Part of the MHRA’s role is the regulation of medical devices, including overseeing investigations into adverse events and promoting the safe use of devices in the UK. The MHRA continues to receive reports of incidents relating to bed rails and associated equipment. These incidents are concerning as some have led to patient harm or death, primarily from entrapment. This publication has been updated to reflect changes in devices and practices, as well as information gained from the investigation of adverse incidents. Who this guidance is for: This document is aimed at all users, carers and staff with responsibility for the provision, prescription, use, maintenance and fitting of bed rails. This includes: