Northeast Health Care Quality FoundationNortheast Health Care Quality Foundation

 

 

 

The QIO for Maine, New Hampshire and Vermont

 

 

 

 

 

 

Nursing Home Toolkit for Improving the Quality of Care Through Restraint Elimination / Reduction

 

(May 2006) Restraint Workshop Materials

 

Cover Page

Acknowledgements

 

Overview of Best Practice

·   Essential Systems for Restraint Elimination/Reduction

·   Process for Achieving a Restraint-Free Environment

·   Decision Tree for Physical Restraints

·   Comprehensive Assessment & Evaluation for Restraint Elimination/Reduction

·   Care Planning for Physical Restraints

·   Restraint or Enabler?

·   The Relationship Between Restraints and Falls

·   Restraint Risks

·   Try This: Avoiding Restraints In Patients with Dementia

·   Guidelines and Resources for Restraints

 

Clinical Tools & Resources

·   Restraint-Enabler Flow Chart & Protocol

·   Side Rail and Alternative Equipment Intervention Decision Tree (GERO T.I.P.S.)

·   Restraint Alternatives

·   Alternatives to Physical Restraints for Falls, Wandering & Agitated Behaviors

·   Restraint Alternative Log

·   Nursing Assessment Tool to Promote Informed Choice Regarding Risks & Benefits of Mobility and Physical Restraints

·   Fall Assessment and Prevention: A Policy & Procedure

·   HCANJ Falls Management – Assessment/Investigation Forms

o       Fall Risk Assessment

o       Pharmacist Fall Risk Assessment Policy & Procedure

o       Pharmacist Fall Risk Assessment Instrument

o       Falls Management Investigation

o       Post Fall Assessment Tool

·   HCANJ Falls Management - Confidential Performance Improvement (CPI) Forms

o       Facility Falls Summary Report

o       Facility Falls Data Summary

o       Falls Management Guidelines Quantitative Measurement Record

 

Quality Improvement Tools & Resources

·   Overview of Quality Improvement Tools & Resources

·   Process Improvement Guide for the Elimination/Reduction of Restraints

·   Facility Checklist 1: Comprehensive Assessment & Evaluation for Restraint Elimination/Reduction

·   Facility Checklist 2: MDS Coding for Physical Restraints

·   Facility Checklist 3: Care Planning for Physical Restraints

·   System Checklist 1: Organizational Commitment to Restraint Elimination/Reduction

·   System Checklist 2: Education & Training for Restraint Elimination/Reduction

·   Process Definition Worksheet

·   Process Analysis/Investigation Worksheet

·   Brainstorming & Developing Solutions Worksheet

·   Implementation Strategy Worksheet

·   Evaluation Worksheet

·   Guidelines for Forming an Effective Team

·   Team Meeting Notes

 

Measurement & Data

·   Physical Restraints Quality Measure (QM): Snapshot Definition

·   Physical Restraints Quality Measure (QM): State and US Averages

·   Progress Towards Elimination of Physical Restraints in Nursing Homes

·   Nursing Home Improvement Feedback Tool (NHIFT) Physical Restraint Questions

·   NHIFT Data Abstraction Definitions – Physical Restraints

 

 

  

Links

Upcoming Events

Materials from NHQI Events

 

For more information, contact:

Northeast Health Care Quality Foundation

The QIO for Maine, New Hampshire and Vermont

nhqi@nhcqf.org

800-772-0151, Ext. 120

 

 

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