2024
The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of DiseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factors
2022
All clinical stressors are not created equal: Differential task stress in a simulated clinical environment
Joseph M, Ray JM, Chang J, Cramer LD, Bonz JW, Yang TJ, Wong AH, Auerbach MA, Evans LV. All clinical stressors are not created equal: Differential task stress in a simulated clinical environment. AEM Education And Training 2022, 6: e10726. PMID: 35368506, PMCID: PMC8923648, DOI: 10.1002/aet2.10726.Peer-Reviewed Original ResearchEM residentsEmergency medicineHeart rate variabilitySimulation-based medical educationSimulated patient encountersSimulated clinical environmentInterpersonal challengesClinical stressorsPatient encountersSimulated encountersIncreased distressEmergency departmentMedical educationMedical difficultiesMeasuring heart rate variabilityClinical environmentControlled trialsRate variabilityResponses of participantsState QuestionnaireStatistically significant differenceSmart shirtResidentsDistressParticipants
2020
Study protocol for the ACT response pilot intervention: development, implementation and evaluation of a systems-based Agitation Code Team (ACT) in the emergency department
Wong AH, Ray JM, Auerbach MA, Venkatesh AK, McVaney C, Burness D, Chmura C, Saxa T, Sevilla M, Flood CT, Patel A, Whitfill T, Dziura JD, Yonkers KA, Ulrich A, Bernstein SL. Study protocol for the ACT response pilot intervention: development, implementation and evaluation of a systems-based Agitation Code Team (ACT) in the emergency department. BMJ Open 2020, 10: e036982. PMID: 32606062, PMCID: PMC7328814, DOI: 10.1136/bmjopen-2020-036982.Peer-Reviewed Original ResearchConceptsEmergency departmentRestraint useCode teamControlled interrupted time series designResponse interventionsRate of restraint useInterrupted time series designAcute care settingDe-escalation techniquesTime series designPeer-reviewed publicationsED staffIdentified teamworkPilot interventionCare settingsHealth systemPatient encountersAgitation managementHuman Investigation CommitteeWorkplace violenceEthical approvalStaff safetyPatient agitationReduce harmSeries design
2018
Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department
Wong AH, Auerbach MA, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patient Simulation for Agitation Management in the Emergency Department. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2018, 13: 154-162. PMID: 29613919, DOI: 10.1097/sih.0000000000000309.Peer-Reviewed Original ResearchConceptsAdvanced practice registered nursesStandardized patient simulationAgitation managementPatient simulatorPhysician assistantsEmergency carePatient encountersFocus groupsEmergency departmentSafety of staffPractice registered nursesInterprofessional focus groupsEmergency medicine residentsGrounded theory approachFear of physical harmRegistered nursesED nursesData saturationHealth workersInterprofessional educationImprove teamworkMedicine residentsEnhance teamworkHospital sitesMedical resuscitation