Practice Experience: Quality Improvement Storyboard

Cumberland hospital was averaging between 110 to 130 restrictive interventions a month. In the time range of 3qtr 2020 to 1st qtr. 2021 Cumberland Hospital was able to drop their restrictive intervention rate by 25% by using the following.  

1.       Completing Camera reviews for each restrictive intervention.

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a.       This assisted in seeing patient and staff interaction and if the restrictive intervention was justified (i.e. was their immediate risk of harm to self and others) .

b.       If the restraint was complete per policy and procedure (excessive force was not used)

2.       If excessive force or unneeded restrictive interventions we used we would do the following

a.       The staff member would be reported to the correct regulator agency – this occurred for 20% of restrictive interventions in the 4th QTR

b.       After the report was made an investigation would occur  for all reported incidents – Of those incidents 13% were found to be excessive or unneeded to the point that led to termination.

c.       The remaining 12% lead to retraining, reeducation, and corrective action.

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