title: Physical restraint reduction in the acute rehabilitation setting: a quality improvement study.
abstract: A prospective, continuous quality improvement study was implemented at a hospital on two rehabilitation units: stroke and brain injury. The purpose of the study was to decrease restraint use by 25% and to maintain fall rates no greater than 10% over baseline. A multi-component restraint reduction program was implemented that focused on administrative support, education, consultation, and feedback. Monthly restraint rates and fall rates were monitored and compared to the previous year's rates. Both units reduced restraint use. Importantly, this reduction was accomplished at the same time as a decline in fall rates.
authors.affiliation: MetroHealth Medical Center, Cleveland, OH 44109, USA. samato@metrohealth.org
authors.forename: Shelly
authors.initials: S
authors.lastname: Amato
authors.forename: Judy P
authors.initials: JP
authors.lastname: Salter
authors.forename: Lorraine C
authors.initials: LC
authors.lastname: Mion
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data; D000208:Acute Disease; D001930:Brain Injuries / Q000451:nursing / Q000534:rehabilitation; D004509:Education, Nursing, Continuing; D005240:Feasibility Studies; D006757:Hospital Units / Q000458:organization & administration*; D006766:Hospitals, County; D006784:Hospitals, Teaching; D006801:Humans; D007318:Inservice Training; D015146:Midwestern United States; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education; D015397:Program Evaluation; D011446:Prospective Studies; D019145:Rehabilitation Nursing / Q000193:education / Q000458:organization & administration*; D012149:Restraint, Physical / Q000009:adverse effects / Q000706:statistics & numerical data*; D017751:Safety Management; D012621:Seasons; D012944:Social Support; D020521:Stroke / Q000451:nursing; D000071939:Stroke Rehabilitation; D017749:Total Quality Management / Q000458:organization & administration*