Patient Safety in Psychiatry-2.2 Violence and Aggression

Video Transcription

Video Summary

In this video, section 2 discusses the prevention of adverse events related to seclusion and restraint for aggressive or violent patients. The Joint Commission reported that restraint-related injuries and deaths were the 7th highest among reported events from 1995 to 2005. The leading causes of these incidents include asphyxiation, strangulation, cardiac arrest, and fire hazards. To address these problems from a patient safety perspective, methods such as avoiding restraining patients in the prone position, monitoring for asphyxiation, being aware of risks for geriatric patients, and assessing medical status for cardiac arrest are recommended. Awareness of fire risks, especially for smokers, is also important. Decreasing the use of seclusion or restraint can be achieved through organizational culture, training, quality improvement, alternative methods, and better assessment. For more information, visit www.FEMA.gov.

Keywords

adverse events

seclusion

restraint

aggressive patients

violent patients