Hospital

According to a recent article in The Times-News, the Alamance Regional Medical Center in Burlington, NC is experiencing an increase in violence against nurses and staff, evidence of a national trend that health care facilities are experiencing.

Read more: Alamance Regional Medical Center Experiences Increase in Violence…

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An article in the Washington Post explores the question of whether or not stun guns, or Taser electronic control devices, are suitable for use in a hospital environment.

Robert Philibert, a professor at the University of Iowa who has studied the use of Tasers and other weapons in psychiatric care, says the use of such weapons is increasing to control violent patients. He said that although a better choice than a gun, a Taser still poses a threat that “breaches the trust and the understanding of the patient.”

Read more: Should Hospitals Use Stun Guns to Control Violent Patients?…

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The Joint Commission published a white paper, Health Care at the Crossroads: Guiding Principles for the Development of the Hospital of the Future, as part of their Public Policy Mission, which addresses issues related to the provisions of safe, high-quality health care, according to their website.

Read more: Joint Commission Paper Focuses on Patient-Centered Care and Other Hospital Public Policy Issues…

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A new Joint Commission Sentinel Event Alert warns that health care settings today are confronted with steadily increasing rates of crime, including assault, rape and murder. These incidents are caused by staff, visitors, other patients, and intruders, according to the Alert.

Read more: Joint Commission Alert Addresses Hospital Violence…

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by Dr. Carol Chau

The culture of a hospital unit not only lies within the culture of the organization, but it is also a dynamic process defined and reinforced every day by its staff members. In defining “culture,” we could refer to norms, values, and attitudes. However, we could also refer to leadership, membership, external network, and history. These latter facets are what staff believe and will be presented to have been the core contributions to this In-Patient Mental Health (IPMH) unit’s success at becoming restraintfree for well over a year in 2007-2008. Of note, this restraint-free culture has continued with only two occurrences up to the time of this submission.

Read more: Restraint Use: Culture of Assumptions?…

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In December 2008, Coney Island Hospital, located in Brooklyn, NY, implemented a new approach with its Code Grey crisis response team to reduce episodes of restraint and seclusion in its behavioral health unit. After implementing this team, restraint and seclusion percentages have decreased from an average of 10% per month to between 0% and 1%. Coney Island Hospital uses Nonviolent Crisis Intervention® training as its crisis prevention training program.

Read more: Coney Island Hospital Reduces Use of Restraint…

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