Review Template: Restraints and Seclusion Focused Review

Synopsis: Guidelines for continuous assessment of patient safety with restraints

Worksheet Header Fields:

Description	Short Desc	Field Type	Attribution Type	Length	Primary	Sticky	Mandatory	Prefilled
Facility	Facility	Attribution Type	Facility	50	Yes	No	Yes	Yes
Medical Record No.	Med Rec #	Text		20	No	No	No	No
Account No.	Account #	Text		20	Yes	No	Yes	No
Patient Gender	Pt Gender	Attribution Type	Patient Gender	50	No	No	No	Yes
Patient Age Group	Pt Age	Attribution Type	Patient Age Group	50	No	No	No	Yes
Admit Date	Admit Date	Date		10	No	No	No	No
Discharge Date	Dschg Date	Date		10	No	No	No	No
Review Date	Rev Date	Date		10	No	Yes	No	No
Physician	Physician	Attribution Type	Physician	50	No	Yes	No	Yes
Department	Department	Attribution Type	Department	50	No	Yes	No	Yes
Reviewer	Reviewer	Attribution Type	Reviewer	50	No	Yes	No	Yes
User	User	Attribution Type	User	50	No	No	No	Yes

Worksheet Criterion Fields:

Description	Short Desc	Field Type	Attribution Type	Length
Event Date	Event Date	Date		13
Physician	Physician	Attribution Type	Physician	50
Department	Department	Attribution Type	Department	50
Time	Time	Attribution Type	Time	50
Restraint Episode	Res Episod	Attribution Type	Restraint Episode	50
Restraint Type	Restraint	Attribution Type	Restraint Type	50
Restraint Reason	Res Reason	Attribution Type	Reason for Restraint	50
Nurse	Nurse	Attribution Type	Nursing Staff	50
Shift	Shift	Attribution Type	Shift	50
Unit	Unit	Attribution Type	Unit	50
Restraint Duration	Res Durat	Attribution Type	Restraint Duration	50

Definition:

Description Short Description

Import: To import this defintion into your Plato Data Analyzer

• Right click on this URL here and choose 'Save Target As...' from the pop-up menu and save the definition to you hard disk.
• Launch Plato Data Analyzer and create a new Review Template/Study from this downloaded definition.

Courtesy: PDA Administrator