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Accidental Strangulation From Vest Restraints

Accidental Strangulation From Vest Restraints To the Editor.— In a recent article in JAMA, Dube and Mitchell1 present two case reports of strangulation by vest restraints. Their investigation revealed that the deaths were largely the result of nursing and procedural errors, not due to design or labeling shortcomings in the restraint vest. It is true that some manufacturers have made significant improvements in the design of these products since we first published our recommendation.2-4 The changes include color coding by size, front and back identification labels sewn on the vest, full directions for use in plain English and French, improved ties, and quick-release fasteners. However, in spite of these improvements, serious incidents associated with these medical devices continue to occur: four cases of death by strangulation in vest restraints are currently under investigation in the province of Quebec. We suspect that a large number of such incidents go unreported. Manufacturers and health care http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Accidental Strangulation From Vest Restraints

Katz, Leon
JAMA , Volume 257 (15) – Apr 17, 1987
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References (5)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1987.03390150048018
Publisher site
See Article on Publisher Site

Abstract

To the Editor.— In a recent article in JAMA, Dube and Mitchell1 present two case reports of strangulation by vest restraints. Their investigation revealed that the deaths were largely the result of nursing and procedural errors, not due to design or labeling shortcomings in the restraint vest. It is true that some manufacturers have made significant improvements in the design of these products since we first published our recommendation.2-4 The changes include color coding by size, front and back identification labels sewn on the vest, full directions for use in plain English and French, improved ties, and quick-release fasteners. However, in spite of these improvements, serious incidents associated with these medical devices continue to occur: four cases of death by strangulation in vest restraints are currently under investigation in the province of Quebec. We suspect that a large number of such incidents go unreported. Manufacturers and health care

Journal

JAMA – American Medical Association

Published: Apr 17, 1987

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