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Search results for "United States of America"

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Newspaper/Magazine Article

Rethinking hospital restraints.

Parikh R. The Atlantic. August 18, 2014.

The inappropriate use of physical restraints on patients is considered a sentinel event. Although restraints may be used to protect patients from harm, this magazine article highlights risks related to their use—such as increased rates of pressure ulcers and delirium—and advocates for a more patient-sensitive approach to ensure the safety of both patients and caregivers.

Newspaper/Magazine Article

A girl dies during restraint at hospital already criticized for problems.

Bernhard B, Kohler J. St. Louis Post-Dispatch. August 1, 2010:A1

In the context of system failures that contributed to the death of a patient, this newspaper article describes how never events are rarely publicized, even though hospital inspection reports are public records.

Journal Article > Study

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

Adoption of checklists to standardize and mitigate error-prone processes was popularized in patient safety through a compelling 2007 New Yorker article. The concept was further supported by its resounding success in preventing central-line–associated bloodstream infections. Similar efforts have emerged in surgical settings in which adoption of a specific checklist reduced morbidity and mortality. This study implemented a 14-point checklist in the intensive care unit (ICU) setting to actively engage providers in considering best practices during daily rounds and then evaluated whether the checklist affected practice patterns. While the study did not measure clinical patient outcomes, investigators did demonstrate significant improvements in deep vein thrombosis and stress ulcer prophylaxis, oral care for ventilated patients, electrolyte repletion, initiation of physical therapy, and documentation of restraint orders. The study also demonstrated a two-fold increase in transferring patients out of the ICU on telemetry compared with baseline practice. The authors advocate for use of this cost-effective method to promote best practices in ICU settings.

Journal Article > Study

Use of a computerized forcing function improves performance in ordering restraints.

Griffey RT, Wittels K, Gilboy N, McAfee AT. Ann Emerg Med. 2009;53:469-476.

Computerized reminders to renew orders for physical restraints were combined with a forcing function—denial of computer access until the order was completed—in this trial conducted in an emergency department. Although clinician ordering behavior improved, no significant improvement was found in the amount of time patients spent in restraints.

Journal Article > Study

A randomized clinical trial to compare the use of safety net enclosures with standard restraints in agitated hospitalized patients.

Nawaz H, Abbas A, Sarfraz A, et al. J Hosp Med. 2007;2:385-393.

Using physical restraints is a common method to prevent injury in agitated hospitalized patients, but it also can lead to undesired outcomes. This study showed that the SOMA Safe EnclosureTM appears to be a safe, effective type of restraint that is more acceptable to family members and physicians than the types of restraints currently in use.

Newspaper/Magazine Article

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

This article reports on the death of a restrained patient and outlines the factors affecting the subsequent reporting of the event.

Book/Report

Hospital Reporting of Deaths Related to Restraint and Seclusion. 

Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2006. Report No. OEI-09-04-00350.

This report presents findings from an investigation into the reporting of and response to restraint and seclusion-related deaths.

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