Spotlight on Success: Brigham & Women's Hospital Implements Alternatives to Restraint Use

Source: Joint Commission: The Source, Volume 8, Number 6, June 2010 , pp. 8-11(4)

Publisher: Joint Commission Resources

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Abstract:

Reducing the use of restraints continues to challenge many hospitals. Finding alternatives that meet individual patient needs, helping staff understand how and when to use those alternatives, facilitating communication among nursing and medical staff, and documenting and monitoring interventions are all important elements of restraint management. The restraint prevention task force at Brigham & Women's Hospital in Boston has been working on these issues since 2005. The hospital's task force implemented a restraint prevention program that gives frontline staff alternatives so that restraints are used only as a last resort. As a result, the hospital has seen a 25% reduction in the use of restraints since 2006. This case study article discusses how the hospital addresses ways to limit the use of restraints (Standard PC.03.02.01), the dissemination of the hospital's policies for safe restraint use (Standard PC.03.02.03), and the monitoring of patients for whom interventions are used (Standard PC.03.02.07).

Document Type: Research article

Publication date: 2010-06-01

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