Restraint management: moving from outcome to process.
Restraint management continues to be a challenge despite years of attention to the issue. This article demonstrates how a restraint prevention program, built on an analysis of care processes and a set of "bundled" interventions, can successfully decrease restraint prevalence and enhance safe patient care.
Antonelli
Mary T
MT
Brigham & Women's Hospital, Boston, Massachusetts 02115, USA. mantonelli@partners.org
D000046:Academic Medical Centers; D000368:Aged; D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration; D001900:Boston; D019091:Critical Pathways / Q000458:organization & administration; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000193:education / Q000458:organization & administration*; D006801:Humans; D007899:Leisure Activities; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010347:Patient Care Planning / Q000458:organization & administration*; D010865:Pilot Projects; D011367:Professional Staff Committees / Q000458:organization & administration; D015397:Program Evaluation; D012149:Restraint, Physical / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D017751:Safety Management / Q000458:organization & administration*; D017749:Total Quality Management / Q000458:organization & administration