Journal article

Restrictive interventions in Victorian emergency departments: A study of current clinical practice

Jonathan Knott, Marie Gerdtz, Sheriden Dobson, Catherine Daniel, Andis Graudins, Biswadev Mitra, Bruce Bartley, Pauline Chapman



OBJECTIVE: To determine current clinical practices for managing behavioural emergencies within Victorian public hospital EDs. METHODS: A multi-centre retrospective study involving all patients who attended ED in 2016 at the Alfred, Ballarat, Dandenong, Geelong and Royal Melbourne Hospitals. The primary outcome was the rate of patient presentations with at least one restrictive intervention. Secondary outcomes included the rate of security calls for unarmed threats (Code Grey), legal status under the Mental Health Act at both the time of ED arrival and the restrictive intervention, and intervention details. For each site, data on 100 patients who had a restrictive intervention were randomly e..

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Funding Acknowledgements

With many thanks to Dr Bruce Garbutt and Ms Maggie Bock for their support with data management. The present study was supported by funding from the Office of the Chief Mental Health Nurse in the Department of Health & Human Services, State Government of Victoria.