Understand new rules for reporting restraint deaths
Accreditation Connection, September 26, 2008
CMS revised the new Interpretive Guidelines for hospitals in April. The changes were not minor—in fact, the section on reporting restraint deaths was 50 pages long.
The new Interpretive Guidelines apply to regular hospitals but not critical access hospitals. Any death involving a patient who dies in restraints, or within 24 hours of being in a restraint, has to be reported to the CMS regional office the next business day, and the date and time it was reported must be documented in the patient’s medical record.
It is important to note that you should not report this to the State Department of Health. Any death involving a patient who dies in a restraint, and when it is reasonable to believe that the death was due to the restraint, needs to be reported to the CMS regional office. Many of the CMS regional offices are requesting that hospitals complete the restraint worksheet and send it in. This saves time for the person at the CMS regional office, as he or she won’t have to ask the questions over the phone.
Access the full story in the September issue of Briefings on The Joint Commission. Access is free for BOJ subscribers; nonsubscribers can purchase a copy of the story for $10 by clicking here.
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