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Description
Incidence of violence often occur in the psychiatric setting during physical management events which include: Physical hold, restraint or seclusion. At Kingswood Hospital the switch from CPI de-escalation and physical management to Welle De-escalation and physical management experienced interruptions and had observed opportunities for expansion, buy-in and development towards improved clinical care. In late 2021 incidence of patient reported abuse after physical holds led to investigation noting team members were not well trained in the correct use of welle techniques and current training did not include hands on training along with advanced welle techniques. Planning began to improve welle training, integrate welle language and focus on duress response with frequent debriefing and process improvement implementation using the PDCA cycle. Goal to reduce restraints, staff assaults, patient allegations of abuse, staff reports of feeling unsafe and improve BHT (behavioral health technician) retention and job security. Due to trauma of incidence of assault, abuse and restraint, goal will be continual reduction and PDCA cycles with continued growth and education to goal of zero harm.
Publication Date
3-12-2024
Publisher
Henry Ford Health
City
Detroit, Michigan
Keywords
Quality Expo, posters, poster competition
Recommended Citation
Sexton, Emily; Gaskins, Tasmiyah N.; Travis, Elizabeth; Pasovic, Vahid; Rogers, Mary; Samarco, Therese; Hinojosa, Athena; and Harrington, Jackie, "Project #41: Creating a Safe Space to Care and Heal in an Inpatient Psychiatric Hospital, Utilizing Welle and Empowering De-Escalation, a Hands Off Approach to Care" (2024). Quality Expo 2024. 43.
https://scholarlycommons.henryford.com/qualityexpo2024/43
