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Patient restraint: a new philosophy.

M Hall1, J A Marr

  • 1Toronto Hospital (Western Division).

Leadership in Health Services = Leadership Dans Les Services De Sante
|June 7, 1993
PubMed
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A safety task force developed patient restraint assessment tools in 1992. These tools were piloted and found applicable for patients at risk in intensive care units (ICUs).

Area of Science:

  • Medical Ethics
  • Patient Safety
  • Clinical Assessment

Background:

  • The Toronto Hospital (Western Division) initiated a safety task force in 1992.
  • The task force aimed to address the ethical considerations surrounding patient restraint.
  • Existing methods for assessing the need for patient restraint were evaluated.

Purpose of the Study:

  • To develop and evaluate tools for assessing the need for patient restraint.
  • To test the applicability of these assessment methods in a clinical setting.
  • To determine the suitability of restraint devices and assessment techniques for at-risk patients.

Main Methods:

  • Establishment of a multidisciplinary safety task force.
  • Development of assessment tools in consultation with healthcare professionals, patients, and families.

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  • A six-week pilot study to evaluate restraint devices and assessment methods.
  • A subsequent study to assess the applicability of tools in the Intensive Care Unit (ICU).

    • Main Results:

    • The safety task force successfully developed assessment tools for patient restraint.
    • Pilot studies validated the effectiveness of the developed assessment methods.
    • The assessment tools were found to be applicable and effective in the ICU setting.

    Conclusions:

    • The developed assessment tools provide a structured approach to managing patients requiring restraint.
    • These tools enhance patient safety and ethical considerations in clinical practice.
    • The findings support the use of these assessment methods in critical care environments like the ICU.