Quality improvement initiatives to minimize seclusion and restraint.
Much literature exists detailing adverse outcomes associated with the use of seclusion and restraint (S&R). Recognizing the negative effects of this intervention, one organization began a quality improvement project to reduce the use of this behavioral management strategy. A retrospective study using the medical record and the S&R database was initiated to examine clinical symptoms at the point of admission of those individuals who later experienced an S&R and to evaluate S&R practices across treatment areas. This initial project identified the admission processes, early treatment initiatives, and individuals experiencing multiple episodes of S&R as critical foci.
Knight
Margaret M
MM
McLean Hospital, Boston, MA, USA. knightm@mcleanpo.mclean.org
D000293:Adolescent; D000328:Adult; D000368:Aged; D004637:Emergency Services, Psychiatric / Q000592:standards; D017050:Episode of Care; D005260:Female; D006778:Hospitals, Psychiatric / Q000592:standards*; D006801:Humans; D008297:Male; D008485:Medical Audit; D001523:Mental Disorders / Q000145:classification* / Q000503:physiopathology; D008875:Middle Aged; D010356:Patient Isolation; D012149:Restraint, Physical; D012189:Retrospective Studies; D017749:Total Quality Management / Q000379:methods*