Hall Debra K, Zimbro Kathie S, Maduro Ralitsa S, Petrovitch Deborah, Ver Schneider Patricia, Morgan Merri
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).
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。
