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  1. Cosper, Pam MSN, RN, NEA-BC
  2. Morelock, Vicki MN, APRN-CNS, ACCNS-AG, CCRN
  3. Provine, Becky MSN, RN, FNGNA, NEA-BC


A quality improvement initiative was undertaken to reduce restraint use in 4 acute care hospitals within a single health system. A variety of initiatives and interventions were used including the following: implementation of multidisciplinary rounds on restrained patients, increased availability of restraint alternatives, development of unit-based restraint champions, and education of both staff and health care providers about restraints. The health care system has maintained a quarterly restraint prevalence rate of less than 2.26% with 1 variant.