The use of restraints is only appropriate if the patient is a danger to themselves or others. Hospitals must have a clear and standardized protocol for the appropriateness of implementing restraints, the vetting process of other possible mechanisms, the type of restraints that should be used, and the monitoring and re-evaluation required.

Our APSS outline actionable steps healthcare organizations should take to successfully implement and sustain behavior change for high reliability, shared understanding, thorough communication, and meaningful person-centered care across the organization.

Actionable steps include:

• Executive Summary Checklist
• Leadership checklist guide to determine whether current evidence-based guidelines are being followed in your organization
• Performance improvement plan to follow if improvements are necessary
• Clinical workflow for preoccupation with workflow for areas of improvement
• How to educate patients and family members about the significance of their role throughout the continuum
• Guidance on how to measure outcomes