Improvement Information: Providing a Quality Life While Avoiding Restraints
PDF Version of BQA 00-020
(PDF, 7 KB)
Date: February 11, 2000 -- DSL-BQA-00-020
From: Jan Eakins, Chief, Provider Regulation and Quality Improvement Section
cc: Susan Schroeder, Director, Bureau of Quality Assurance
This clinical practice guideline is being sent to hospitals to provide educational
resources for restraint reduction training in the acute care setting, and to assist
hospitals in the implementation of the new federal Hospital Conditions of Participation,
Patients Rights at 42 CFR 482.13. The concepts and resources in this guideline can
be adapted to clinical practice in hospitals.
Efforts are being made by leaders in nursing homes to reach out to hospitals to
facilitate joint training using the module Education of Hospital Staff. This module
and the modules entitled Physician Education and Educating Residents and
Families may be of the most interest to hospitals. The recommended reading list for
hospitals has good resource articles and there are also recommended reading lists for
important topics such as side rails and fall prevention.
Providers, provider associations, the Board on Aging and Long Term Care (the Ombudsman
program) and the Bureau of Quality Assurance (BQA) collaboratively developed this
resource. The guideline was successfully piloted in five different types of Wisconsin
nursing homes and these nursing homes were able to reduce restraints without an increase
in serious injuries. These piloting nursing homes also provided outreach education to
hospitals, physicians, families and staff with excellent results.
This guideline is not a regulatory requirement, but it is
consistent with federal and state regulations if properly implemented. It is a tool for
quality improvement that providers can integrate into their policies, procedures and
training programs for clinical practice. The guideline will soon be available on the
Department of Health and Family Services (DHFS) web site at: http://www.dhs.wisconsin.gov/rl_DSL/Publications/BQAnodMems.htm
A videotape of provider presentations about their piloting experience is available.
This video is not a training video that would "stand alone," but it would be
useful for trainers to view before using the guideline. For information on borrowing this
video, please call Leann Graffin at (608) 267-1438.
Information on obtaining the videotape training series "Everyone Wins" is in
Appendix B of the guideline.
Questions about the guideline may be directed to Dinh Tran, Social Services Consultant,
Provider Regulation and Quality Improvement at (608) 266-6646.
You are encouraged to copy and distribute this information.
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