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September 10, 2025BMJ Open QualityOpen Access

Restraint reduction during psychiatric intensive care: a controlled bi-phasic time series evaluation of a culture change intervention

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Authors

EGEleanor GreenSKStephen KellettCGC. J. GaskellNorth Staffordshire Combined Healthcare NHS Trust

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Overview

Controlled evaluation shows significant reductions in restraint use in psychiatric intensive care units, indicating improved safety culture.

Key Points

  • On the intervention PICU, there were significant reductions in the use of seclusion and full restraint.
  • The RRIA role was deemed crucial for improving the safety culture, with positive feedback from the multidisciplinary team.
  • The mixed methods approach assessed both quantitative outcomes and qualitative interviews for a comprehensive evaluation.
  • Further controlled evaluations are essential to explore the effectiveness of restraint reduction interventions in PICUs.

Cite This Study

Green et al. (2025) studied this question.

synapsesocial.com/papers/68c1885e9b7b07f3a06128fehttps://doi.org/10.1136/bmjoq-2024-002956
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