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Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit
Debra K Hall1, Kathie S Zimbro, Ralitsa S Maduro
1Sentara CarePlex Hospital, Hampton, Virginia (Mss Hall and Petrovitch); and Sentara Quality Research Institute, Sentara Healthcare, Virginia Beach, Virginia (Drs Zimbro and Maduro and Mss Ver Schneider and Morgan).
Abstract:
Restraint use has been linked to longer lengths of stay and other undesirable outcomes. This evidence-based project explored the impact of a restraint management bundle on restraint use, quality, and safety outcomes. Results indicated that the proportion of intensive care unit patients restrained decreased significantly (24.3% vs 20.9%) following program implementation. Project results suggest that the restraint management bundle may provide a framework for guiding the process to reduce restraint use, minimize harm, and improve patient safety.
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