ppt课件-hospital- wide restraint initiative- u t health（医院-宽限制行动- u t健康）.pptVIP

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2017-01-25 发布于四川
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ppt课件-hospital- wide restraint initiative- u t health（医院-宽限制行动- u t健康）.ppt

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Hospital-Wide Restraint Initiative Vickie Geha Cathy Klotz Barb Kvale Deb Hanson Many different accreditation bodies have developed standards around the use of restraints. Most have to do with restraint reduction – following the philosophy that inappropriate restraint use could result in patient harm, including death The FDA now estimates that approximately 100 deaths per year are from restraint use Reduce restraint use against external benchmark throughout the hospital Use of external benchmarks as available Increase staff awareness regarding the standards, use of least restrictive alternatives, and the goals of restraint reduction Improve documentation of restraint use Med/surg benchmark - 3.4 Rehab benchmark - 3.4 ICU benchmark - 24.3 Continue with internal benchmarks for psychiatric units Meet compliance regarding documentation of restraint/seclusion use Maintain or decrease restraint/seclusion in all hospital areas as reasonable Meet all compliance standards for restraint/seclusion use Various indicators were used M/S: number of restraint episodes (any time an order is written) ÷ number of patient days x 100 MCCU/Rehab: number of hours in restraints ÷ number of patient hours x 100 Child Psych: number of hours in seclusion/restraints ÷ number of patient days x 100 Geri-Psych: number of hours in seclusion/restraints ÷ number of patient days/24 hours x 1000 Documentation indicators Geripsych is almost 100% restraint free Kobacker continues to make program changes to become restraint free Increased awareness of staff in the use of restraints There has been some improvement in documentation, but 90% compliance is not met Purchased least restrictive devices such as lap buddies, chair alarms, Velcro waist wrap, activity aprons, wedge cushions, and side-rail protectors Continue with the Family Sitter Program Use of 1:1 Added new committee members Integrated restraint education in hospital orientation Revised the documentation tool to include all required elements