Safety Without Restraints in Surgical Intensive Care Unit (SICU) (Sustainability Phase)
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2022
To reduce inappropriate wrist-restrainer use in SICU for intubated patients from 41% to 15%. Sustainability achieved via workflow integration, saving costs and improving care quality.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Lean Methodology, Value Based Care, Safe Care
About this Content
Aims
To reduce inappropriate wrist-restrainer use in SICU for intubated patients from 41% to 15%.
Background
High restraint use affects patient dignity and recovery.
Methods
Implemented Decision Wheel tool, training sessions, and family engagement strategies.
Results
Reduced inappropriate use to 0%, avoiding over $23,600 annually in costs, while maintaining patient safety and dignity.
Conclusion
Sustainability achieved via workflow integration, saving costs and improving care quality.
Lessons Learnt
Engagement with families and training of nurses enhance compliance and reduce restraint use.
Additional Information
NHG Quality Day 2022: Merit Award
Keywords
Safe Care, Patient Dignity, Restraint Use
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Surgery, Intensive Care Medicine, Physiotherapy |
Project Lead(s) | Yang Xuelian |
Project Member(s) | Li Qin |
Connect with this contributor!
Yang Xuelian - xue_lian_yang@ttsh.com.sg
Project Attachment
C_514_TTSH_Quality_Day_2022_Safety_Without_Restraints_in_SICU.pdf