RT Journal
A1 Riese F, Hock C
T1 PHysical restraint use in nursing homes
JF JAMA
JO JAMA
YR 2012
FD September 19
VO 308
IS 11
SP 1091
OP 1092
DO 10.1001/jama.2012.9400
UL http://dx.doi.org/10.1001/jama.2012.9400
AB 
To the Editor: Dr Köpke and colleagues1 demonstrated that an educational, multicomponent intervention reduced the use of physical restraints for nursing home residents without a concomitant increase in falls or use of psychotropic medication. The cost of the intervention was only about $1000 per nursing home and did not require an increase in nursing staff. This is supported by a recent study2 from Germany showing no significant relationship between use of physical restraints and the ratio of patients to trained staff. Unfortunately, the intervention was not successful in reducing daytime bed restraint with a waist belt, which was the least frequent but arguably the most invasive form of restraint under study. Future interventional studies should specifically target this form of restraint.