Clinical practice guidelines for the maintenance of patient physical safety in the intensive care unit: Use of restraining therapies—American College of Critical Care Medicine Task Force 2001–2002

Gerald A. Maccioli · Todd Dorman · Brent R. Brown · John E. Mazuski · Barbara A. McLean · Joanne M Kuszaj +5 more

180 citations0/0 files storedCritical Care Medicine

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Healthcare Decision-Making and Restraints Patient Safety and Medication Errors Intensive Care Unit Cognitive Disorders

Abstract

OBJECTIVE: To develop clinical practice guidelines for the use of restraining therapies to maintain physical and psychological safety of adult and pediatric patients in the intensive care unit. PARTICIPANTS: A multidisciplinary, multispecialty task force of experts in critical care practice was convened from the membership of the American College of Critical Care Medicine (ACCM), the Society of Critical Care Medicine (SCCM), and the American Association of Critical Care Nurses (AACN). EVIDENCE: The task force members reviewed the published literature (MEDLINE articles, textbooks, etc.) and provided expert opinion from which consensus was derived. Relevant published articles were reviewed individually for validity using the Cochrane methodology (http://hiru.mcmaster.ca/cochrane/ or www.cochrane.org). CONSENSUS PROCESS: The task force met as a group and by teleconference to identify the pertinent literature and derive consensus recommendations. Consideration was given to both the weight of scientific information within the literature and expert opinion. Draft documents were composed by a task force steering committee and debated by the task force members until consensus was reached by nominal group process. The task force draft then was reviewed, assessed, and edited by the Board of Regents of the ACCM. After steering committee approval, the draft document was reviewed and approved by the SCCM Council. CONCLUSIONS: The task force developed nine recommendations with regard to the use of physical restraints and pharmacologic therapies to maintain patient safety in the intensive care unit.

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1988Physical Restraint of the Hospitalized Elderly

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2007Prevalence and Variation of Physical Restraint Use in Acute Care Settings in the US 2004British Association of Critical Care Nurses Position statement on the use of restraint in adult critical care units 2013Use of physical restraints in acute hospitals in Germany: A multi-centre cross-sectional study 2005Use of Physical Restraints in Adult Critical Care: A Bicultural Study 2013Physical restraints practice in adult intensive care units in E gypt 2015Use of Physical Restraints in Dutch Intensive Care Units: A Prospective Multicenter Study 2018Investigating influencing factors of physical restraint use in China intensive care units: A prospective, cross-sectional, observational study 2011Restraints in intensive care units—A mixed method study

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