Evaluation on the Outcome of Establishing the Health Care Restraint Standards by an Intensive Care Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/154465
Type:
Presentation
Title:
Evaluation on the Outcome of Establishing the Health Care Restraint Standards by an Intensive Care Unit
Abstract:
Evaluation on the Outcome of Establishing the Health Care Restraint Standards by an Intensive Care Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Lin, Mei Ling, BSN
P.I. Institution Name:Taipei Veterans General Hospital
Title:Deputy Head Nurse, ICU
Co-Authors:Hui Hua Tsai, MSN; Shin-shang Chou, RN, MSN, MBA
In the ICU, while a patient exhibits behaviors that could be classified as irrational or uncooperative, such as attempting to seriously interfere with a physical treatment or device, such as a CVP line,tracheal tube and the like, physical restraints are frequently used on a patient in order to protect him/her from injury to self or to others, Besides establishing a number of indicators on proceeding restraint, the Joint Commission on Accreditation of Healthcare Organization (JCAHO) has also encouraged organizations to develop related polices and guidelines on helping monitor the restraint usage. Furthermore, Taiwan Quality Indicator Project (TQIP), in 1999, has also included "the use of physical restraint" as part of the acute medical care standards. Therefore, examining our restraint guidelines as well as referring to the standards of JCAHO and TQIP, we have revised our standard of operation, design a one-sheet restraint assessment and begun to evaluate after the execution in year 2003. The finding is as follows: the number of restraints dropped from 2.3% to 1.4%; more-than-24-hours restraint reduced from 91.8% to 69%; accuracy on restraint position increased from 41.8% to 100%; people injured thru restraint decreased from 31% to 0%; accuracy on the comfort degree of restraint application (i.e. how tight and loose) was up from 56.6% to 97.2%; written record appearance during restraint process extended from 4.1% to 85.4%.In conclusion, this assessment sheet has not only help scrutinized the effectiveness of restraint application, but also multiplied the accuracy and humaneness of health care during the process. As a result, it further improves the quality of health care restraints.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation on the Outcome of Establishing the Health Care Restraint Standards by an Intensive Care Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/154465-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation on the Outcome of Establishing the Health Care Restraint Standards by an Intensive Care Unit</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lin, Mei Ling, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Deputy Head Nurse, ICU</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kungmrs@hotmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hui Hua Tsai, MSN; Shin-shang Chou, RN, MSN, MBA</td></tr><tr><td colspan="2" class="item-abstract">In the ICU, while a patient exhibits behaviors that could be classified as irrational or uncooperative, such as attempting to seriously interfere with a physical treatment or device, such as a CVP line,tracheal tube and the like, physical restraints are frequently used on a patient in order to protect him/her from injury to self or to others, Besides establishing a number of indicators on proceeding restraint, the Joint Commission on Accreditation of Healthcare Organization (JCAHO) has also encouraged organizations to develop related polices and guidelines on helping monitor the restraint usage. Furthermore, Taiwan Quality Indicator Project (TQIP), in 1999, has also included &quot;the use of physical restraint&quot; as part of the acute medical care standards. Therefore, examining our restraint guidelines as well as referring to the standards of JCAHO and TQIP, we have revised our standard of operation, design a one-sheet restraint assessment and begun to evaluate after the execution in year 2003. The finding is as follows: the number of restraints dropped from 2.3% to 1.4%; more-than-24-hours restraint reduced from 91.8% to 69%; accuracy on restraint position increased from 41.8% to 100%; people injured thru restraint decreased from 31% to 0%; accuracy on the comfort degree of restraint application (i.e. how tight and loose) was up from 56.6% to 97.2%; written record appearance during restraint process extended from 4.1% to 85.4%.In conclusion, this assessment sheet has not only help scrutinized the effectiveness of restraint application, but also multiplied the accuracy and humaneness of health care during the process. As a result, it further improves the quality of health care restraints.</td></tr></table>en_GB
dc.date.available2011-10-26T13:01:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:01:14Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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