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Physical interventions training and organisational management in mental health: an integrated approach to promote patient safety

Published online by Cambridge University Press:  13 June 2011

Andreen Ward
Affiliation:
Senior Tutor in Physical Intervention, St Ann's Hospital, Poole, Dorset, UK
Stephen Keeley
Affiliation:
Ward Manager, St Ann's Hospital, Poole, Dorset, UK
Jerry Warr*
Affiliation:
Reader in Practice Development, School of Health and Social Care, Bournemouth University, UK
*
Correspondence to: Dr Jerry Warr, Royal London House, Christchurch Road, Bournemouth, BH1 3LT. E-mail: [email protected]
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Abstract

Physical interventions, including restraint, are a necessary but controversial component of mental health care. This paper outlines developments in one trust to prioritise this area and take an integrated, whole trust approach. The paper discusses ‘physical interventions’, describes the organisational approach to support the development and outlines the training package developed to promote safe and effective practice. In addition the approach is reviewed using team members' views within the National Patient Safety Agency's seven steps to patient safety. Data on incidences of interventions prior to and following the approach are presented and conclusions and recommendations to further guide practice are proposed.

Type
Original Research Article
Copyright
Copyright © NAPICU 2011

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