179 Effects of de-implementation strategies aimed at reducing low-value nursing procedures 6 Description of intervention strategy (sorted by EPOC Taxonomy) Positive Significant effect (p≤ 0.05) (Yes/No) Educational meetings: 1-on-1 discussion about proper use of restraints and alternatives Educational materials: Online educational activity Health information system: Restraint decision tool Yes Educational meetings: The intervention consisted of a 60-min face to-face interactive provider education activity. Small group discussion Case studies with didactic lecture Treatment algorithms Yes Educational materials: All clinical staff on the psychiatric inpatient service received training on crisis intervention techniques that can be used as an alternative to restraint (videotapes) A stress/anger management group for patients was added to the inpatient service's therapeutic programming. Continuous quality improvement: Daily review of all restraints Local Consensus processes: Identification of restraint prone patients Team: Crisis response team Incentive system for the staff Yes Educational meetings: Presentations Educational materials: Flyers Posters Monitoring the performance of the delivery of healthcare: Monthly prevalence is determined on all units by bedside nurses. If a patient has restraints in place, the patient’s chart is reviewed for orders and proper documentation / Health Information System: Blood test form Yes Educational meetings: Education about the guidelines to ensure adherence and to standardize the criteria for catheter use. Audit and Feedback: Reminders about adhering to the CAUTI prevention guidelines in daily safety huddles and weekly staff meetings / Educational meetings: Educational session used evidence-based guidelines and a local antibiogram to provide specific recommendations for the best prescribing practices Yes
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