physical-or-mechanical-restraint-use-in-acute-MHA

INDICATOR NAME

Name

Use of physical or mechanical restraints in facilities providing acute mental health care

Alternate Name

Percentage of mental-health-bed hospitalizations in which physical restraints were used

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of patients in mental-health-designated beds in Ontario who had an indication of the use of a mechanical or physical restraint in their Ontario Mental Health Reporting System record.

HQO Reporting tool/product

Public reporting

Dimension

Effective

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

This indicator is calculated as: the numerator divided by the denominator, multiplied by 100.

Numerator (short description i.e. not inclusions/exclusions)

Patients who had a mechanical/physical restraint use indicated on their OMHRS records

Denominator (short description i.e. not inclusions/exclusions)

Total number of individuals who were discharged from a designated adult mental health bed in an Ontario hospital

Adjustment (risk, age/sex standardization)- generalized

Age and sex standardized

Data Source

Ontario Mental Health Reporting System (OMHRS), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Age, Income, Region, Sex, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

Control interventions in OMHRS are reported in full assessment records which typically occur at set intervals and may not capture information about incidents that occur between intervals. This is related to the fact that there is no reporting requirement for control interventions and, therefore, in instances where hospital stays are longer, a larger number of control interventions may go unreported.The analysis was limited by the exclusion of individuals with hospital stays of three days or less. Short-stay RAI-MH assessments do not require all data elements to be coded.

Comments Summary