Physical and Pharmacological Restraints in Hospital Care: Protocol for a Systematic Review

Bruijn, Wendy de; Daams, Joost G.; Hunnik, Florian J. G. van; Arends, Arend J.; Boelens, A. M.; Bosnak, Ellen M.; Meerveld, Julie; Roelands, Ben; Munster, Barbara C. Van; Verwey, Bastiaan; Figee, Martijn; Rooij, Sophia E. de; Mocking, Roel J. T.

doi:10.3389/fpsyt.2019.00921

Cited by 15 publications

(10 citation statements)

References 55 publications

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“…This means that the critical conditions that require this procedure are quite frequent in the daily clinical practice of the Piedmont psychiatric wards. Currently, there is no comprehensive literature overview on the beneficial and/or adverse effects of the use of mechanical and pharmacological restraints in the hospital setting [ 16 ]. This type of invasive and restrictive procedure is matter of debate among clinicians and there are opposite approaches that depend on both the individual psychiatric unit and the Regional provisions.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with involuntary admissions: a register-based cross-sectional multicenter study

et al. 2021

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Background Despite the EU recommendations on mental health, involuntary admission has been under researched in Italy for a long time and the overall picture of involuntary admission still appears fragmentary. The aims of this study are to evaluate involuntary admission rates in the Piedmont Region (Italy) and to investigate clinical and service-related variables associated with involuntary admission. Methods This is a cross-sectional retrospective multicenter study involving all psychiatric inpatients units of the general hospitals of Piedmont Region. Data on hospitalizations during 2016 were collected by consulting hospital discharge registers. The analyses were performed on two samples: 6018 patients (data analysis was run on first hospitalization during the study period for those with multiple admissions) and 7881 inpatient episodes. The association between involuntary admission and socio-demographic and clinical characteristics was examined through t-test for continuous variables, and Pearson’s Chi-square test for categorical variables. Multilevel modeling was applied in logistic regression models with two levels: for the first model center and participants and for the second model center and inpatient episodes. Results Of 6018 inpatients, 10.1% were admitted involuntarily at first hospitalization, while the overall compulsory treatment rate was slightly lower (9.1%) in the inpatient episodes sample (n = 7881). The involuntary admission rates ranged from 0.8 to 21% among study centers. Involuntary admissions were primarily associated with younger age, diagnosis of schizophrenia or substance use disorders, longer duration of hospital stay, mechanical restraint episodes, and fewer subsequent hospitalizations during the study period. Conclusions The rate of involuntary admission in the Piedmont Region was lower than the mean rate across countries worldwide. There were noteworthy differences in rates of involuntary admission among psychiatric units, although no relationship was found with characteristics of the psychiatric wards or of the areas where hospitals are located.

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Section: Discussionmentioning

confidence: 99%

Factors associated with involuntary admissions: a register-based cross-sectional multicenter study

et al. 2021

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“…After the decision to initiate patient restraint, the choice of restrain has been agreed upon, and the patient has been adequately secured, documentation and reassessments are the hallmark components of physical restrain maintenance. Restraint documentation frequency has been cited with intervals ranging from 15 minutes to hourly [5,7,31,[33][34][35][36]. These time frames are constructed with the intention of prompting frequent reassessments with the desired goal of termination of restraint utilization as soon as possible.…”

Section: Restraint Maintenancementioning

confidence: 99%

Emergency Department Restraint Safety

White¹,

Kustera²

2023

Contemporary Topics in Patient Safety - Volume 2

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Restraint use during patient care is a serious and important safety topic because it is often utilized in high stress, rapidly evolving, and unique situations in which patients not only pose harm to themselves, but harm to others. The scope of patient safety topic is a threefold approach: initiation, maintenance, and discontinuation. First, a briefly literature pertaining to evidence-based criteria for the initiation of patient restraints will be constructed. Secondly, restraint types and the resources required to maintain restraints will be explicated. Finally, the chapter will conclude with patient evaluation methods pertaining to the safe discontinuation of restraints and resource de-escalation. A succinct, pragmatic discussion on restraint utilization - a method that mitigates a patient’s threat to themselves and others – will be presented in this manuscript.

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“…A search on the Scopus database using the words “Visualization of Similarities” and VOSviewer returned eighty-two documents [ 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 , 154 , 155 , 156 , 157 , 158 , 159 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 , 174 , 175 , 176 , 177 , 178 , 179 , 180 , 181 , 182 , 183 , 184 , 185 , 186 , 187 , 188 , 189 , 190 , 191 , 192 , …”

Section: Introductionunclassified

Biofuels and Nanocatalysts: Python Boosting Visualization of Similarities

et al. 2023

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Among the most relevant themes of modernity, using renewable resources to produce biofuels attracts several countries’ attention, constituting a vital part of the global geopolitical chessboard since humanity’s energy needs will grow faster and faster. Fortunately, advances in personal computing associated with free and open-source software production facilitate this work of prospecting and understanding complex scenarios. Thus, for the development of this work, the keywords “biofuel” and “nanocatalyst” were delivered to the Scopus database, which returned 1071 scientific articles. The titles and abstracts of these papers were saved in Research Information Systems (RIS) format and submitted to automatic analysis via the Visualization of Similarities Method implemented in VOSviewer 1.6.18 software. Then, the data extracted from the VOSviewer were processed by software written in Python, which allowed the use of the network data generated by the Visualization of Similarities Method. Thus, it was possible to establish the relationships for the pair between the nodes of all clusters classified by Link Strength Between Items or Terms (LSBI) or by year. Indeed, other associations should arouse particular interest in the readers. However, here, the option was for a numerical criterion. However, all data are freely available, and stakeholders can infer other specific connections directly. Therefore, this innovative approach allowed inferring that the most recent pairs of terms associate the need to produce biofuels from microorganisms’ oils besides cerium oxide nanoparticles to improve the performance of fuel mixtures by reducing the emission of hydrocarbons (HC) and oxides of nitrogen (NOx).

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Physical and Pharmacological Restraints in Hospital Care: Protocol for a Systematic Review

Cited by 15 publications

References 55 publications

Factors associated with involuntary admissions: a register-based cross-sectional multicenter study

Factors associated with involuntary admissions: a register-based cross-sectional multicenter study

Emergency Department Restraint Safety

Biofuels and Nanocatalysts: Python Boosting Visualization of Similarities

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