Summary: This white paper highlights that patient falls in U.S. hospitals remain a leading cause of preventable harm, costing the healthcare system billions annually. Traditional reliance on sitters is costly—up to $6,000 per patient in a five-day stay—yet shows limited effectiveness in reducing falls. In contrast, innovative strategies such as hospital-at-home programs, telehealth, and AI-driven risk assessment are emerging, but enclosure beds (“e-bed enclosures”) stand out as a cost-effective, evidence-based solution. These systems provide a safe, non-invasive barrier that reduces fall risk without constant human supervision, lowering expenses while improving patient safety and comfort. The report urges hospital leaders to adopt comprehensive risk assessments, targeted interventions, and technology investments, with particular emphasis on enclosure beds as a practical alternative to sitters, to enhance outcomes, reduce non-reimbursable expenses, and support staff efficiency.