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QI 1215 Reducing Restrictive Practice on Edgewick Psychiatric Intensive Care Unit (PICU)
Munonyara, Tendai Rajabali, James Supported by the Quality Improvement Team
Munonyara, Tendai
Rajabali, James
Supported by the Quality Improvement Team
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Affiliation
Coventry and Warwickshire Partnership NHS Trust
Other Contributors
Publication date
2024-11
Subject
Collections
Research Projects
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Journal Issue
Abstract
To reduce the use of restrictive practice on the Edgewick Psychiatric Intensive Care Unit by 30%. Restrictive practice is defined as: Restraint and Rapid Tranquillisation (RT).
Edgewick were invited to participate in the NHSE Mental Health Safety Programme to Reduce Restrictive Practice. The aim of the programme is to reduce the use of Restraint and Rapid Tranquilisation
(RT) by 30%. The baseline data collected showed that restraint and RT occurred in the majority of incidents, with the use of RT being significantly higher than other mental health wards across the Trust.
The Team have spent the last 11 months working collaboratively with the women on the ward to improve their PICU experience, with staff supporting them to use alternative interventions. Despite the
challenges on the ward with a variety of patients with complex needs being on the ward, and an overall increase in reported incidents, the team have successfully reduced the use of restraint and RT.
Tools Used:
Driver Diagram - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-driver-diagrams.pdf;
Staff and Patient Feedback;
Pareto Chart - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pareto.pdf
SPC Charts - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-statistical-process-control.pdf;
PDSA Charts - https://aqua.nhs.uk/wp-content/uploads/2023/07/qsir-pdsa-cycles-model-for-improvement.pdf.
Citation
Munonyara, Tendai; Rajabali, James. QI 1215 Reducing Restrictive Practice on Edgewick Psychiatric Intensive Care Unit (PICU). Coventry and Warwickshire Partnership NHS Trust, 2024
Type
Internal Poster