Heisenberg in the ER: observation appears to reduce involuntary intramuscular injections in a psychiatric emergency service.

Abstract:

INTRODUCTION:Chemical restraint is controversial. Appropriate use is ill-defined and chemical restraint may be overutilized. During the period of an unrelated observational study for patients with acute psychomotor agitation in a psychiatric emergency service, we noticed a significant reduction in the number of involuntary intramuscular injections administered. RESULTS:We observed a 27% decrease (P=.015) in the number of involuntary intramuscular injections in the 3-month observational study period, compared to 3-month periods before and after the study. CONCLUSION:We suggest that the observation process itself may have been beneficial and may have reduced the incidence of unnecessary intramuscular injections.

journal_name

Gen Hosp Psychiatry

authors

Damsa C,Ikelheimer D,Adam E,Maris S,Andreoli A,Lazignac C,Allen MH

doi

10.1016/j.genhosppsych.2006.06.001

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

431-3

issue

5

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(06)00095-8

journal_volume

28

pub_type

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