Alternative strategies to constant patient observation and sitters: a proactive approach.
The evidence is inconclusive as to whether better patient outcomes for behavioral issues in acute care are achieved using constant patient observation. Nurse leaders at a northern California hospital designed and implemented proactive strategies to identify patients at risk for behavioral issues, developed evidence-based interventions to reduce the use of sitters and constant observation, and maintained or improved patient safety.
Author Affiliations: Director for Clinical Education, Practice, and Informatics for the Marin/Sonoma Service Area (Ms Laws), Kaiser Permanente Hospital, Santa Rosa, California; Project Manager (Dr Crawford), Southern California Kaiser Permanente Regional Nursing Research Program, Pasadena, California.
Denise
D
Laws
Cecelia L
CL
Crawford
D019958:Attention Deficit and Disruptive Behavior Disorders / Q000517:prevention & control*; D002140:California; D055318:Evidence-Based Nursing / Q000379:methods*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D019370:Observation / Q000379:methods*; D005791:Patient Care / Q000379:methods*; D061214:Patient Safety; D012308:Risk Management / Q000379:methods*; D057832:Watchful Waiting / Q000379:methods*