دورية أكاديمية
Restraint and seclusion in psychiatric treatment settings: regulation, case law, and risk management.
| العنوان: | Restraint and seclusion in psychiatric treatment settings: regulation, case law, and risk management. |
|---|---|
| المؤلفون: | Recupero PR; Butler Hospital, 345 Blackstone Boulevard, Providence, RI 02906, USA. patricia_recupero@brown.edu, Price M, Garvey KA, Daly B, Xavier SL |
| المصدر: | The journal of the American Academy of Psychiatry and the Law [J Am Acad Psychiatry Law] 2011; Vol. 39 (4), pp. 465-76. |
| نوع المنشور: | Journal Article; Legal Case |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Academy Of Psychiatry And The Law Country of Publication: United States NLM ID: 9708963 Publication Model: Print Cited Medium: Internet ISSN: 1943-3662 (Electronic) Linking ISSN: 10936793 NLM ISO Abbreviation: J Am Acad Psychiatry Law Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Bloomfield Ct : American Academy Of Psychiatry And The Law |
| مواضيع طبية MeSH: | Hospitals, Psychiatric*, Patient Isolation/*legislation & jurisprudence , Restraint, Physical/*legislation & jurisprudence , Risk Management/*legislation & jurisprudence, Government Regulation ; Humans ; Medical Staff, Hospital/education ; Risk Management/organization & administration ; United States |
| مستخلص: | Changing federal regulations, civil rights and malpractice cases, and new treatment methods have influenced the use of restraint and seclusion (R&S) in inpatient psychiatric treatment settings, such that restraint and seclusion today are among the most highly regulated practices in psychiatry. Despite increased pressure from regulatory bodies and litigation, the use of R&S remains controversial and risky. These procedures can compromise safety if performed incorrectly or monitored inadequately, but intervention by restraint or seclusion may be necessary to maintain safety on the treatment unit, especially during emergencies. Case law and medical research have demonstrated the importance of a patient-focused, treatment-oriented approach toward risk management. Analysis of specific clinical scenarios can help to develop risk mitigation strategies that are therapeutically conceptualized rather than driven by regulation. Insights drawn from clinical cases that have resulted in litigation can offer an opportunity to develop an approach oriented to patient care from a clinical or risk management perspective. In this article, we seek to provide a foundation for evaluation of current protocols, an analysis of adverse R&S events, and strategies to minimize risk. |
| التعليقات: | Comment in: J Am Acad Psychiatry Law. 2011;39(4):477-9. (PMID: 22159975) Comment in: J Am Acad Psychiatry Law. 2011;39(4):480-95. (PMID: 22159976) |
| تواريخ الأحداث: | Date Created: 20111214 Date Completed: 20120426 Latest Revision: 20181201 |
| رمز التحديث: | 20221213 |
| PMID: | 22159974 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1943-3662 |
|---|