[AVBC 2025] Patient Free from Physical Restraint at Subacute Wards
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
6 November 2025
To reduce the percentage of physical restraint usage by 10% (from 29% to 19%) in TTSH Ward 6 & 10 @ Renci within 6 months. The interventions led to cost savings and intangible benefits, improving patient and staff satisfaction.
Year Submitted: 2025
Published Date: 06 November 2025
Tags: Care Process ＆ Redesign, Value Based Care, Safe Care, Risk Management, Patient Satisfaction, Productivity, Cost Saving
About this Content
Aims
To reduce the percentage of physical restraint usage by 10% (from 29% to 19%) in TTSH Ward 6 & 10 @ Renci within 6 months.
Background
Physical restraint has been associated with harm in elder adults and increased length of stay. Studies show that inappropriate use of physical restraint can endanger patient safety and cause serious physical and mental consequences.
Methods
The process involves identifying patients whose behavior can cause harm, reviewing by ward NOs/Drs, informing NOK, monitoring restraint every two hours, and removing restraint once the condition improves.
Results
Cost saving on restraint-free time (in 1 year): $565,440. Intangible benefits include less harm to patients, increased nurses' satisfaction, and more satisfied patients and families.
Conclusion
The interventions led to cost savings and intangible benefits, improving patient and staff satisfaction.
Lessons Learnt
Members learned CPIP tools on problem-solving. Challenges were encountered on implementing the interventions one at a time. Importance of continuing data collection to sustain and spread the improvements.
Keywords
Physical Restraint, Patient Safety, Cost Saving
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Geriatric Medicine |
Project Lead(s) | Wang Zhiye |
Project Member(s) | NA |
Connect with this contributor!
Wang Zhiye - zhiye_wang@ttsh.com.sg
Project Attachment
863_TTSH_AVBC_2025_Patient_Free_from_Physical_Restraint_at_Subacute_Wards.pdf