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Related Experiment Videos

Formulating a restraint use policy.

J Morrison, D Crinklaw-Wiancko, D King

    The Journal of Nursing Administration
    |March 1, 1987
    PubMed
    Summary
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    Canadian hospitals saw deaths from improper physical restraint use. A review found 13.2% of patients were restrained, with poor documentation, highlighting a need for formal policies in patient care.

    Area of Science:

    • Healthcare quality improvement
    • Patient safety
    • Nursing practice

    Background:

    • Federal notification regarding deaths linked to improper physical restraint application.
    • Government data suggests up to 10% of hospital patients may be under restraint at any given time.
    • Previous studies indicate variability in physical restraint use and associated risks.

    Purpose of the Study:

    • To examine nursing practices concerning physical restraint use in a Canadian hospital.
    • To assess the prevalence of physical restraint application and documentation accuracy within the facility.
    • To identify the need for a formal policy to address clinical-administrative issues related to restraint use.

    Main Methods:

    • Conducted a hospital-wide survey to determine the percentage of patients managed with physical restraints.

    Related Experiment Videos

  • Evaluated the documentation practices associated with the application of physical restraints.
  • Analyzed findings in the context of federal guidelines and patient safety concerns.

    • Main Results:

    • A hospital-wide survey revealed that 13.2% of patients were being managed with physical restraints.
    • Insufficient documentation was identified as a significant issue in the application of restraints.
    • The prevalence of restraint use exceeded the national estimate provided by the government.

    Conclusions:

    • The study identified a significant clinical-administrative problem regarding physical restraint use and documentation.
    • The findings underscore the necessity for developing and implementing a formal policy on physical restraint management.
    • Sharing this experience can benefit other adult care facilities in addressing similar challenges and improving patient safety.