约束管理组合对重症监护病房约束使用的影响。
Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit.
作者信息
Hall Debra K, Zimbro Kathie S, Maduro Ralitsa S, Petrovitch Deborah, Ver Schneider Patricia, Morgan Merri
机构信息
Sentara CarePlex Hospital, Hampton, Virginia (Mss Hall and Petrovitch); and Sentara Quality Research Institute, Sentara Healthcare, Virginia Beach, Virginia (Drs Zimbro and Maduro and Mss Ver Schneider and Morgan).
出版信息
J Nurs Care Qual. 2018 Apr/Jun;33(2):143-148. doi: 10.1097/NCQ.0000000000000273.
Restraint use has been linked to longer lengths of stay and other undesirable outcomes. This evidence-based project explored the impact of a restraint management bundle on restraint use, quality, and safety outcomes. Results indicated that the proportion of intensive care unit patients restrained decreased significantly (24.3% vs 20.9%) following program implementation. Project results suggest that the restraint management bundle may provide a framework for guiding the process to reduce restraint use, minimize harm, and improve patient safety.
使用约束措施与住院时间延长及其他不良后果相关。这个基于证据的项目探讨了约束管理方案对约束措施使用、质量和安全结果的影响。结果表明，在该方案实施后，重症监护病房接受约束的患者比例显著下降（从24.3%降至20.9%）。项目结果表明，约束管理方案可能为指导减少约束措施使用、将伤害降至最低并提高患者安全的过程提供一个框架。
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