减少在男性中等安全的法医病房使用隔离
Kathryn Amy Rowsell1, Ayodele Akinbola2, Mark Hancock2
1Forensic Psychology Department, Oxford Health NHS Foundation Trust, Oxford, UK kathryn.rowsell@oxfordhealth.nhs.uk.
BMJ open quality
|February 16, 2024
概括
这项研究通过过程审查和增强降级技能,在安全的法医病房中减少了33%的隔离使用. 患者报告说,他们感觉更加安全,这突出了心理健康环境中关系安全的重要性.
科学领域:
- 心理健康服务 心理健康服务
- 法医精神病学 法医精神病学
- 患者安全 患者安全
背景情况:
- 隔离等限制性做法不利于患者的康复和创伤信息化的护理.
- 在一个男性安全的法医病房中,发现了高比例的隔离使用.
- 减少隔离的障碍包括缺乏意识,犹不决降级,过度依赖高级决策.
研究的目的:
- 在六个月内将隔离的持续时间和频率减少10%.
- 在安全的法医环境中提高患者的安全和福祉.
- 开发一个可复制的模型来减少类似病房的隔离.
主要方法:
- 分析本地数据系统和患者/工作人员反,以确定隔离使用的驱动因素.
- 实施三个变革测试,重点关注隔离过程,降级技能和决策.
- 一个为期六个月的干预期来衡量实施的变化的影响.
主要成果:
- 在隔离频率和持续时间方面实现了总体减少33%,超过了10%的目标.
- 患者报告说,病房内安全感增加了.
- 工作人员报告说,与患者的治疗关系有所改善.
结论:
- 该项目成功降低了隔离率,证明了有针对性的干预措施的有效性.
- 加强降级技术和改进决策流程对于减少限制性做法至关重要.
- 关系安全是培养在安全的心理健康环境中更安全的环境的一个关键因素.
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