Ambrose Wong
MD, MSEd, MHS
Assistant Professor of Emergency Medicine; Director of Simulation Research, Yale Center for Healthcare Simulation; Fellowship Director, Medical Simulation, Emergency Medicine
Research & Publications
Biography
News
Research Summary
Dr. Wong is a physician-scientist in the Department of Emergency Medicine, with a focus on teamwork, patient safety, mental health crises, and healthcare disparities. He is the Research Director and Fellowship Director at the Yale Center for Healthcare Simulation. He also has expertise in qualitative and mixed-methods techniques for health services research.
Extensive Research Description
Dr. Wong applies healthcare simulation technology to address workplace violence and improve behavioral care in the emergency setting. He has authored eighteen peer-reviewed publications on behavioral emergency care and received an NIH NCATS KL2 & YCCI Scholar Award to implement an agitation code team response intervention. He is the current recipient of an NIMH K23 career development award to investigate the use of health IT in preventing episodes of agitation for behavioral patients in the emergency department. He also received an NIMHD R21 exploratory/developmental research grant that will identify factors contributing to bias and disparities during episodes of agitation using natural language processing and cognitive methods. In 2023-2024, he received PCORI funding for a broad pragmatic study to implement peer support enhanced behavioral crisis response teams in the emergency department as well as an NIMH R01 award that uses system dynamics modeling techniques to develop patient-centered interventions for agitation management.
Coauthors
Research Interests
Aggression; Behavioral Medicine; Competency-Based Education; Education, Medical; Interprofessional Relations; Mental Health; Patient Simulation; Behavioral Research; Patient Safety; Workplace Violence
Selected Publications
- Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practiceWong AH, Ray JM, Eixenberger C, Crispino LJ, Parker JB, Rosenberg A, Robinson L, McVaney C, Iennaco JD, Bernstein SL, Yonkers KA, Pavlo AJ. Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice. BMJ Open 2022, 12: e059876. PMID: 35545394, PMCID: PMC9096567, DOI: 10.1136/bmjopen-2021-059876.
- Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency DepartmentNash KA, Tolliver DG, Taylor RA, Calhoun AJ, Auerbach MA, Venkatesh AK, Wong AH. Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department. JAMA Pediatrics 2021, 175: 1283-1285. PMID: 34515764, PMCID: PMC8438617, DOI: 10.1001/jamapediatrics.2021.3348.
- Disparities Associated With Electronic Behavioral Alerts for Safety and Violence Concerns in the Emergency DepartmentHaimovich A, Taylor R, Chang-Sing E, Brashear T, Cramer L, Lopez K, Wong A. Disparities Associated With Electronic Behavioral Alerts for Safety and Violence Concerns in the Emergency Department. Annals Of Emergency Medicine 2023, 83: 100-107. PMID: 37269262, PMCID: PMC10689576, DOI: 10.1016/j.annemergmed.2023.04.004.
- Racial Inequities in Police Transport for Patients to the Emergency Department: A Multicenter AnalysisGagliardi J, Smith C, Chang-Sing E, Cramer L, Robinson L, Shah D, Jivalagian P, Turner N, Wong A. Racial Inequities in Police Transport for Patients to the Emergency Department: A Multicenter Analysis. American Journal Of Preventive Medicine 2023, 66: 154-158. PMID: 37661074, PMCID: PMC10842350, DOI: 10.1016/j.amepre.2023.08.018.
- A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency DepartmentAgboola I, Rosenberg A, Robinson L, Brashear T, Eixenberger C, Shah D, Pavlo A, Im D, Ray J, Coupet E, Wong A. A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency Department. Annals Of Emergency Medicine 2023, 83: 108-119. PMID: 37855791, PMCID: PMC10843036, DOI: 10.1016/j.annemergmed.2023.09.014.
- Characterizing Racial Disparities in Emergency Department Pediatric Physical Restraint by Sex and AgeTolliver D, Markowitz M, Obiakor K, Wong A, Cramer L, Robinson L, Nash K. Characterizing Racial Disparities in Emergency Department Pediatric Physical Restraint by Sex and Age. JAMA Pediatrics 2023, 177: 972-975. PMID: 37459087, PMCID: PMC10352924, DOI: 10.1001/jamapediatrics.2023.2300.
- A qualitative system dynamics model for effects of workplace violence and clinician burnout on agitation management in the emergency departmentWong AH, Sabounchi NS, Roncallo HR, Ray JM, Heckmann R. A qualitative system dynamics model for effects of workplace violence and clinician burnout on agitation management in the emergency department. BMC Health Services Research 2022, 22: 75. PMID: 35033071, PMCID: PMC8760708, DOI: 10.1186/s12913-022-07472-x.
- Design and Implementation of an Agitation Code Response Team in the Emergency DepartmentWong AH, Ray JM, Cramer LD, Brashear TK, Eixenberger C, McVaney C, Haggan J, Sevilla M, Costa DS, Parwani V, Ulrich A, Dziura JD, Bernstein SL, Venkatesh AK. Design and Implementation of an Agitation Code Response Team in the Emergency Department. Annals Of Emergency Medicine 2021, 79: 453-464. PMID: 34863528, PMCID: PMC9038629, DOI: 10.1016/j.annemergmed.2021.10.013.
- Impact of a Virtual Simulation-Based Educational Module on Managing Agitation for Medical StudentsChaffkin J, Ray JM, Goldenberg M, Wong AH. Impact of a Virtual Simulation-Based Educational Module on Managing Agitation for Medical Students. Academic Psychiatry 2021, 46: 495-499. PMID: 34505279, PMCID: PMC8428505, DOI: 10.1007/s40596-021-01521-z.
- Virtual Telesimulation for Medical Students During the COVID-19 PandemicRay JM, Wong AH, Yang TJ, Buck S, Joseph M, Bonz JW, Auerbach MA, Couturier K, Tomassoni AJ, Schwartz ML, Evans LV. Virtual Telesimulation for Medical Students During the COVID-19 Pandemic. Academic Medicine 2021, 96: 1431-1435. PMID: 33883398, PMCID: PMC8475640, DOI: 10.1097/acm.0000000000004129.
- Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot ProgramRay JM, Wong AH, Finn EB, Sheth KN, Matouk CC, Sudikoff SN, Auerbach MA, Sather JE, Venkatesh AK. Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program. Journal Of Patient Safety 2021, 18: 77-87. PMID: 33852541, DOI: 10.1097/pts.0000000000000808.
- Addressing Workplace Safety in the Emergency Department: A Multi-Institutional Qualitative Investigation of Health Worker Assault Experiences.Vrablik MC, Lawrence M, Ray JM, Moore M, Wong AH. Addressing Workplace Safety in the Emergency Department: A Multi-Institutional Qualitative Investigation of Health Worker Assault Experiences. Journal Of Occupational And Environmental Medicine 2020, 62: 1019-1028. PMID: 32991380, DOI: 10.1097/jom.0000000000002031.
- An Interprofessional Simulation-Based Orientation Program for Transitioning Novice Nurses to Critical Care Roles in the Emergency Department: Pilot Implementation and EvaluationRoncallo HR, Ray JM, Kulacz RC, Yang TJ, Chmura C, Evans LV, Wong AH. An Interprofessional Simulation-Based Orientation Program for Transitioning Novice Nurses to Critical Care Roles in the Emergency Department: Pilot Implementation and Evaluation. The Joint Commission Journal On Quality And Patient Safety 2020, 46: 640-649. PMID: 32919910, PMCID: PMC7606488, DOI: 10.1016/j.jcjq.2020.08.005.
- Assessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual OrientationHill KA, Samuels EA, Gross CP, Desai MM, Zelin N, Latimore D, Huot SJ, Cramer LD, Wong AH, Boatright D. Assessment of the Prevalence of Medical Student Mistreatment by Sex, Race/Ethnicity, and Sexual Orientation. JAMA Internal Medicine 2020, 180: 653-665. PMID: 32091540, PMCID: PMC7042809, DOI: 10.1001/jamainternmed.2020.0030.