PubMed Health⌕ Search
Home/Archive/PubMed

PubMed · 11186743

New restraint standards will change your practice.

R Wise
View original source ↗Export metadata ↓

Abstract

New restraints and seclusion standards from Joint Commission on Accreditation of Healthcare Organizations require you to use restraints or seclusion only for emergency situations when there is imminent risk of physical harm to a patient or others. The standards will be scored for compliance in January 2001 and will not be capped (a sliding scale scoring system usually used for several months after new standards are introduced). Document that alternative measures, such as trying to contact family members, were considered before restraints were used. The need for restraint must be described by behavior, not diagnosis.

Explore related subjects

Emergency Service, HospitalHumansInservice TrainingJoint Commission on Accreditation of Healthcare OrganizationsRestraint, PhysicalUnited StatesJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

R Wise. 2000. New restraint standards will change your practice.. https://pubmed.ncbi.nlm.nih.gov/11186743/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Modelling seasonal and weather dependency of cardiac arrests using the covariate order method.

A data set concerning cardiac arrests treated by the Emergency Medical Service in Trondheim during a nine year period is analysed. The relationship between the occurrence of cardiac arrest and covariates related to weather and season is examined. The covariate order method is used in the analysis of the data. It is explained how this method can be extended to recurrent event data, and the practical usefulness and flexibility of the method is demonstrated in these analyses. In the analyses a significant relationship between outdoor air temperature, or factors closely related to outdoor air temperature, and the occurrence of cardiac arrest is found. The incidence of cardiac arrest decreases with increasing temperature. Further a significant effect of snowfall is also found, with increased intensity of cardiac arrest on days with snowfall. A more borderline significant effect of precipitation is also identified.

Emergency Service, Hospital↗
PubMed2007

Emergency department access to a longitudinal medical record.

Our goal is to assess how clinical information from previous visits is used in the emergency department. We used detailed user audit logs to measure access to different data types. We found that clinician-authored notes and laboratory and radiology data were used most often (common data types were used up to 5% to 20% of the time). Data were accessed less than half the time (up to 20% to 50%) even when the user was alerted to the presence of data. Our access rate indicates that health information exchange projects should be conservative in estimating how often shared data will be used and the wide breadth of data accessed indicates that although a clinical summary is likely to be useful, an ideal solution will supply a broad variety of data.

Emergency Service, Hospital↗