Nursing Home
Clinical Materials
Physical Restraints
News Feature:
Physical Restraints Performance Improvement April 2004 - September 2005
(Lower Scores Indicate Better Performance)
06-08-2006
This graph demonstrates performance improvement in the reduction of physical restraints utilization between April 2004 and September 2005. The Identified Participants Group (IPG) data include only those nursing homes (identified participants) working very closely with their State QIO on focused quality improvement efforts. For more information, please contact your state QIO. Note: The y-axis (vertical axis) displays only values between 4.0% and 8.0%, since all data fall between 6% and 8%.
The data for this quality measure come from the MDS Repository. The MDS is collected on regular intervals for every resident in a Medicare or Medicaid-certified nursing home. Information is collected on the resident's health, physical functioning, mental status, and general well-being. These data are used by the nursing home to assess needs and develop a plan of care unique to each resident.
The national data include all nursing homes in the United States. The Identified Participants Group data include only those nursing homes selected by QIOs for focused quality improvement efforts. These nursing homes work closely with their regional QIO on specific quality improvement projects.
Resources to Reduce Physical Restraint Utilization
Tools
- Communicating with Physicians about Physical Restraints
- Facility Assessment Checklist for Physical Restraints
- Physical Restraints: Overview
- Restraint Management Guide
- Restraint Reduction - Assessment and Alternatives Help Guide
Literature
- A clinical trial to reduce restraints in nursing homes.
- Deficiency citations for physical restraint use in nursing homes.
- Differences in nursing homes with increasing and decreasing use of physical restraints.
- Initiation of physical restraint in nursing home residents following restraint reduction efforts.
- Mechanical restraint use and fall-related injuries among residents of skilled nursing facilities.
- Nursing staff members' intentions to use physical restraints with older people: testing the theory of reasoned action.
- Old problem, different approach: alternatives to physical restraints.
- Physical restraint use and falls in nursing home residents.
- Predictors of continued physical restraint use in nursing home residents following restraint reduction efforts.
- Report of the Council on Scientific Affairs. Use of restraints for patients in nursing homes. Council on Scientific Affairs, American Medical Association.
- Restraint reduction reduces serious injuries among nursing home residents.
- Risk factors for physical restraint use in nursing homes: pre- and post-implementation of the Nursing Home Reform Act.
- Taking charge. The role of nursing administrators in removing restraints.
- The relationship between physical restraint removal and falls and injuries among nursing home residents.
Success Stories
- Success Story: Tennessee QIO Collaborates with Nursing Homes to Decrease Restraint Use for Residents
Weblinks
For more information contact:
Jim Dameron
Administrator
Oregon Patient Safety Commission
Email: jim.dameron@state.or.us