title: Reducing restraint use in a trauma center emergency room.
abstract: Evidence supports reducing the use of restraints and seclusion because these episodes can result in psychological harm or physical injury to patients and staff. The goal was to discover better, more therapeutic methods for managing agitated emergency department behavioral health patients to minimize the use of restraints and seclusion. Training in verbal de-escalation techniques and simulation practice were key strategies in providing staff with the necessary tools and knowledge to change their practice to one of trauma-informed care.
authors.affiliation: Emergency Department, The Queen's Medical Center, 1301 Punchbowl Street, Honolulu, HI 96813, USA. Electronic address: rcolehawaii@yahoo.com.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Cole
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration; D006254:Hawaii; D006801:Humans; D015279:Organizational Culture; D012149:Restraint, Physical / Q000706:statistics & numerical data*; D014193:Trauma Centers / Q000458:organization & administration
keywords: Behavioral health; Emergency; Managing agitation; Restraint reduction; Restraints; Seclusion