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Published on: July 27, 2018
Alternative strategies to constant patient observation and sitters: a proactive approach
Denise Laws1, Cecelia L Crawford
1Author Affiliations: Director for Clinical Education, Practice, and Informatics for the Marin/Sonoma Service Area (Ms Laws), Kaiser Permanente Hospital, Santa Rosa, California; Project Manager (Dr Crawford), Southern California Kaiser Permanente Regional Nursing Research Program, Pasadena, California.
Abstract:
The evidence is inconclusive as to whether better patient outcomes for behavioral issues in acute care are achieved using constant patient observation. Nurse leaders at a northern California hospital designed and implemented proactive strategies to identify patients at risk for behavioral issues, developed evidence-based interventions to reduce the use of sitters and constant observation, and maintained or improved patient safety.
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