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The use of restraint in four general hospital emergency departments in Australia

journal contribution
posted on 14.02.2018, 00:00 by Adam Gerace, DR Pamungkas, C Oster, D Thomson, E Muir-Cochrane
Objective: The purpose of this study was to investigate restraint use in Australian emergency departments (EDs). Method: A retrospective audit of restraint incidents in four EDs (from 1 January 2010 to 31 December 2011). Results: The restraint rate was 0.04% of total ED presentations. Males and females were involved in similar numbers of incidents. Over 90% of restrained patients had a mental illness diagnosis and were compulsorily hospitalised. Mechanical restraint with the use of soft shackles was the main method used. Restraint was enacted to prevent harm to self and/or others. Median incident duration was 2 hours 5 minutes. Conclusions: In order to better integrate the needs of mental health clients, consideration is needed as to what improvements to procedures and the ED environment can be made. EDs should particularly focus on reducing restraint duration and the use of hard shackles. © The Royal Australian and New Zealand College of Psychiatrists 2014.

Funding

Category 2 - Other Public Sector Grants Category

History

Volume

22

Issue

4

Start Page

366

End Page

369

Number of Pages

4

eISSN

1440-1665

ISSN

1039-8562

Publisher

Sage Publications, UK

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

Flinders University; Department for Health and Ageing, Adelaide, SA

Era Eligible

Yes

Journal

Australasian Psychiatry

Usage metrics

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