Shah, A;
Ayers, T;
Cannon, E;
Akhtar, S;
Lorrimer, K;
Milarski, M;
Arundell, LL;
(2022)
The mental health safety improvement programme: a national quality improvement collaborative to reduce restrictive practice in England.
British Journal of Health Care Management
, 28
(5)
pp. 128-137.
10.12968/bjhc.2021.0159.
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Abstract
In 2018, 38 mental health inpatient wards belonging to NHS trusts across England took part in the national reducing restrictive practice collaborative project, which aimed to reduce the use of rapid tranquillisation, restraint and seclusion of patients by 33%. Teams were supported to use quality improvement tools by skilled coaches as part of a national collaborative learning system. At the end of the programme, the overall use of restrictive practice had reduced by 15%. Of the teams that achieved improvements, the average reduction in restrictive practice was 61%. Across the collaborative there were improvements in the mean monthly use of restraints and rapid tranquillisation, and in the total use of all three measures of restrictive practice combined. Support from quality improvement coaches allowed ideas to be tested across the collaborative, enabling the creation of a theory of change for reducing restrictive practice based on areas with a high degree of belief to inform future improvement work in this area.
| Type: | Article |
|---|---|
| Title: | The mental health safety improvement programme: a national quality improvement collaborative to reduce restrictive practice in England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.12968/bjhc.2021.0159 |
| Publisher version: | https://doi.org/10.12968/bjhc.2021.0159 |
| Language: | English |
| Additional information: | Copyright © 2022 The Author(s). This is an Open Access article published by MA Healthcare Ltd and distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: CC BY-NC 4.0 (http://creativecommons.org/licenses/by-nc/4.0/). |
| Keywords: | Inpatients, Mental health, Psychiatry, Quality improvement, Restrictive practice |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10149816 |
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