Innovate Restraints By Continuous Quality Improvement Strategy

Purpose: The restraint strap innovation protocol was modified by using continuously quality improvement strategies(CQI) in order to promoted patient’s safety in respiratory critical care unit in medical center in Taiwan.

Methods: :This innovation protocol apply concept of continuously quality improvement is used in this plan to modify the smile magnet hook gloves. Some items were used in this plan to produce new tool, such as gloves, wrist restraint strap, double-opened zipper, magnet hook, and S belt.

Results: There were six changes of the smile magnet hook gloves which commit three characters: 1). Safety: The magnet hook was used to fasten on the bed for strengthen the restraint safety in order to protect patient’s safety prevent the un planning endotracheal tube extubation, 2). Comfortable: gloves and restraint strap were combined to avoid glide. The gloves were based on the size of patient’s palm which can differentiate size. The fingers part of the gloves made by 3D cutting which can fit the fingers having more space for stretching. 3). Fit medical needs: the zipper was double-open type in the fingers part which can easily open and close allow some observations process in finger part, such as: monitor finger blood sugar and oxygen saturation. Also, the iron plate can be easily remove from the gloves, which can let the gloves clean properly for sterilizing and prolonging the using period in order to strengthen material quality.

Conclusion: The smile magnet hook gloves can contribute patient’s safety and comfortable in orderto promote the nursing quality. According to the data, there was significant increase in family’s satisfaction from 41 points to 96 points. And, same trend in nurse’s satisfaction was raised form 61 points to 97.5 points. The result is not only fit the medical needs, but also raise the satisfaction both of nurses and patients’ families. We hope this innovation can effectively apply to clinical critical care.