Hospitals and psychiatric institutions themselves or others are documented. This current data can be accessed through the hospital information system. In Styria, electronic recording of data in accordance with the Hospitalisation Act has been possible in the patient administration system, “open Medocs”, for some time in Graz Süd-West/Standort Süd Regional Hospital and in University Hospital Graz. The starting time and end as well as the type of restriction to movement are documented in this system. There is a current overview of the restrained patients in each department, which can be also invoked at a later date. The relevant electronic documentation is also maintained in the hospital information system of the Hospital of St. John of God in Graz. Styria In the psychiatric hospitals and departments of the Vienna Health Association (Wiener Gesundheitsverbund), the current data on measures that restrict freedom that have to be recorded by law are documented electronically daily. Since February 2019, steps have been taken to facilitate evaluation of this data. All psychiatric departments should have been able to access current electronic documentation since 10 March 2020. Vienna Information on the installation status of the electronic documentation of measures that restrict freedom in Salzburg was not available at the time of editing this report. Salzburg In conclusion, the existing data on the measures that restrict freedom which have been set in the Laender is not centrally recorded and evaluated. Valid statements on differences are thus not possible. The argument used by Vienna and Styria for refusing to set up central registers for measures that restrict freedom is that Section 38d of the Hospital and Convalescent Homes Act merely stipulates that psychiatric hospitals and psychiatric departments shall maintain electronic documentation. This line of argument fails to convince the NPM however, because statistical analysis while observing data protection rules should only be possible in an anonymised form anyway. Within the framework of a nationwide statistical data collecting exercise, measures that restrict freedom should be recorded and compared in relation to the number of patients over a longer period of time in order to be able to identify unjustifiable differences in the practice of individual hospitals and take preventive action. No cetralised recording and evaluation of data X The provisions of Section 38d (2) of the Hospital and Convalescent Homes Act on the current recording of measures that restrict freedom in electronic documentation systems shall be implemented nationwide. X The recorded data should be accessible by the Laender in anonymised form in a centralised evaluation. 48

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