Improving safety and reducing restrictive practices in a psychiatric intensive care unit
Psychiatric intensive care units provide care to patients with severe mental health disorders, often associated with violence and aggression which may result in the administration of rapid tranquillisation (RT). Novel technologies may support staff in monitoring patient safety and intervening proactively to prevent assaults and RT.
The primary objective of this single-centre study was to assess the effect of clinical teams augmenting their existing clinical practices with Oxevision on the number of assaults and RT events in a male psychiatric intensive care unit. Staff surveys and interviews were also undertaken to assess usability and acceptability of the system, and to gain an understanding of how its use impacts staff experience and perceived patient experience.
- 37% reduction in assaults across the ward
- 26% reduction in bedroom assaults
- 40% reduction in RT episodes related to assaults
Staff reported that: 1. They felt confident in using Oxevision and in control of the information the system provided them with. 2. Oxevision helped them to better plan a patient’s day. 3. The system helped them to create a more calming atmosphere on the ward and to improve patient/staff therapeutic relationships due to disturbing patients less
This study really highlights how introducing a new technology into clinical practice can transform patient care and the day-to-day experiences of staff on the ward.