Least restrictive or least understood? Waist restraints, provider practices, and risk of harm.

Abstract:

:Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in "least restrictive" devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adverse Event Reporting Data Files found that waist devices pose the same potential risk for asphyxial death as vest restraints, few health professionals and consumers are aware of this outcome. Post-marketing device reporting needs better data quality and surveillance, which can certainly benefit the Centers for Medicare and Medicaid Services in their efforts to regulate and enforce standards of care that reduce deaths and injuries to vulnerable nursing home residents.

journal_name

J Aging Soc Policy

authors

Capezuti E,Brush BL,Won RM,Wagner LM,Lawson WT

doi

10.1080/08959420802050967

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

305-22

issue

3

eissn

0895-9420

issn

1545-0821

journal_volume

20

pub_type

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