Reducing Physical Restraints in Acute Care ~ A Successful Change Project

2.50
Hdl Handle:
http://hdl.handle.net/10755/149372
Type:
Presentation
Title:
Reducing Physical Restraints in Acute Care ~ A Successful Change Project
Abstract:
Reducing Physical Restraints in Acute Care ~ A Successful Change Project
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Tyrrell, Vicki
Moving to a restraint-free patient care environment (i.e. reducing physical restraint use in an acute care hospital setting) while simultaneously increasing the utilization of restraint-alternative devices, requires a major change in institutional culture and practice. Audits of physical restraint use in our hospital demonstrated poor compliance with hospital policy and JCAHO standards; we were using too many restraints. In recognition of long-term care’s successful approach to this problem well over a decade ago, we formed a multidisciplinary ‘process improvement team. Starting with an extensive literature review, we created a plan and executed a huge change in institutional culture and practice. Briefly (not all inclusive), this plan included: educating staff, patient, & families about the myths of restraint use (via discussions, poster and workshop presentations), creating a 3-bed unit where the most delirious patients could be cared for and closely monitored without restraints, devising a system to purchase, distribute and replenish restraint-alternative supplies hospital-wide, creating computerized documentation tools and educating staff about documentation requirements, establishing the “ARTeam” (a multidisciplinary group of consultants available to review each patient individually at the bedside), measuring outcomes. We would like to share with others this successful ‘change project’ that moved our hospital to a safe restraint-free environment. This 20 minute ‘Power-Point’ presentation will offer an interactive ‘Q & A’ session with the innovators of this positive change process: A ‘QI’ / JCAHO - knowledgeable clinical review nurse and a GNP with medical / psychiatric expertise.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReducing Physical Restraints in Acute Care ~ A Successful Change Projecten_GB
dc.identifier.urihttp://hdl.handle.net/10755/149372-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Reducing Physical Restraints in Acute Care ~ A Successful Change Project</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Tyrrell, Vicki</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ntngale@umich.edu</td></tr><tr><td colspan="2" class="item-abstract">Moving to a restraint-free patient care environment (i.e. reducing physical restraint use in an acute care hospital setting) while simultaneously increasing the utilization of restraint-alternative devices, requires a major change in institutional culture and practice. Audits of physical restraint use in our hospital demonstrated poor compliance with hospital policy and JCAHO standards; we were using too many restraints. In recognition of long-term care&rsquo;s successful approach to this problem well over a decade ago, we formed a multidisciplinary &lsquo;process improvement team. Starting with an extensive literature review, we created a plan and executed a huge change in institutional culture and practice. Briefly (not all inclusive), this plan included: educating staff, patient, &amp; families about the myths of restraint use (via discussions, poster and workshop presentations), creating a 3-bed unit where the most delirious patients could be cared for and closely monitored without restraints, devising a system to purchase, distribute and replenish restraint-alternative supplies hospital-wide, creating computerized documentation tools and educating staff about documentation requirements, establishing the &ldquo;ARTeam&rdquo; (a multidisciplinary group of consultants available to review each patient individually at the bedside), measuring outcomes. We would like to share with others this successful &lsquo;change project&rsquo; that moved our hospital to a safe restraint-free environment. This 20 minute &lsquo;Power-Point&rsquo; presentation will offer an interactive &lsquo;Q &amp; A&rsquo; session with the innovators of this positive change process: A &lsquo;QI&rsquo; / JCAHO - knowledgeable clinical review nurse and a GNP with medical / psychiatric expertise.</td></tr></table>en_GB
dc.date.available2011-10-26T10:01:06Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:01:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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