Poster Presentation
Wednesday, July 11, 2007
9:00 AM - 9:45 AM
Wednesday, July 11, 2007
2:45 PM - 3:30 PM
Application of Continuous Quality Improvement on the Physical Restraint
Liao Shu-Chen, Taipei veterans general hospital, Taipei, Taiwan
| Learning Objective #1: patient safety and physical restraint |
| Learning Objective #2: continuous quality improvement |
The use of restraint is a temporary nursing intervention to ensure that intravenous lines or medical tubes will not be removed by patients in an intensive care unit. However, restraint may potentially cause some consequences, such as physical or psychological harm, waste of nursing hours and cost. Nurses should assess patient’s circulation, skin integrity, mental status and comfort during restraint use. This project was to modify the traditional wrist restraints in order to reduce time-consuming process, increase patient’s safety as well as their families and nurses’ satisfaction in an intensive care unit. The results of this project were: a) saving the nursing times of 2.11 minutes by using CQI Restraints, b) significant improvement on patient’s safety, c) the satisfaction of the patients’ families was increased from 27.75% to 88.9%, d) Nurse’s satisfaction rate was increased from 8.4% to 91.6%. The project is not only improves the quality of patient care, also enhance the satisfaction at nurses and patients’ families. Therefore, it is worth popularizing this project.