2023
A Qualitative Study of Racial, Ethnic, and Cultural Experiences of Minority Clinicians During Agitation Care in the Emergency Department
Agboola 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.Peer-Reviewed Original ResearchConceptsEmergency departmentPatients of colorED cliniciansQuaternary care medical centerSemistructured individual interviewsMarginalized patient populationsManagement of agitationEthnic minority groupsEmergency careMinority patientsHealth careAgitation managementIndividual interviewsThematic analysisPrimary themesQualitative studyKey themesClinical interactionsOpen codingGroup discussionsMoral injuryCareMedical CenterAgitated patientsMinority groups
2022
Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice
Wong 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.Peer-Reviewed Original ResearchConceptsEmergency departmentAgitation eventsQualitative studyEmergency careQualitative studies of patients' experiencesPhysical restraintStudies of patients' experiencesAvoidance of physical restraintSystem of healthcare deliveryPhysical restraint useEmergency care networkCommunity-based teaching hospitalSystems-based practiceTertiary care academic centreInterviews of patientsVerbal de-escalationGrounded theory approachPatient-oriented strategiesExposure to psychological traumaExcessive psychomotor activityCare approachSocioeconomic inequalitiesPatient experienceRestraint useCare network
2020
4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department
Wong A, Crispino L, Parker J, McVaney C, Rosenberg A, Ray J, Whitfill T, Iennaco J, Bernstein S. 4123 Characterization of Physical Restraint and Sedative Use for Treatment of Agitation in the Emergency Department. Journal Of Clinical And Translational Science 2020, 4: 125-125. PMCID: PMC8823616, DOI: 10.1017/cts.2020.374.Peer-Reviewed Original ResearchLogistic regression modelsRestraint useSedative useEmergency departmentOvert Aggression Scale scoresPhysical restraintOvert Aggression ScaleAggression scale scoresTreatment of agitationAgitated Behavior ScaleSeverity ScaleHigher oddsAgitation ScaleScale scoreLogistic regression models of factorsAssociated with significantly higher oddsTertiary care referral centerUrban tertiary care referral centerProspective cohort study of adult patientsFrequent chief complaintProspective cohort studySignificantly higher oddsAlcohol/drug useCohort study of adult patientsSeverity Scale scoreOrganisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement
Fekieta R, Rosenberg A, Hodshon B, Feder S, Chaudhry SI, Emerson BL. Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement. Health Systems 2020, 10: 239-248. PMID: 34745587, PMCID: PMC8567872, DOI: 10.1080/20476965.2020.1768807.Peer-Reviewed Original ResearchIntra-hospital transferMedical intensive care unitTertiary medical centerIntensive care unitGeneral medicine unitsTransitions of careQuality improvement effortsCare unitEmergency departmentMedicine unitMultiple cliniciansMedical CenterHospital capacityHospital prioritiesApplication of protocolsOrganisational factorsCliniciansImprovement effortsSemi-structured interviewsQualitative assessmentPatientsUndesirable outcomesFactorsExperiences of Individuals Who Were Physically Restrained in the Emergency Department
Wong AH, Ray JM, Rosenberg A, Crispino L, Parker J, McVaney C, Iennaco JD, Bernstein SL, Pavlo AJ. Experiences of Individuals Who Were Physically Restrained in the Emergency Department. JAMA Network Open 2020, 3: e1919381. PMID: 31977058, PMCID: PMC6991263, DOI: 10.1001/jamanetworkopen.2019.19381.Peer-Reviewed Original ResearchConceptsEmergency departmentPhysical restraintED visitsExperiences of restraint useQualitative studyExperiences of physical restraintCombination of mental illnessPatient-centered approachMacArthur Perceived Coercion ScaleRestraint experienceParticipants' demographic informationAssociated with injuryExperiences of individualsData saturationEpisodes of physical restraintRestraint ordersCare provisionSelf-reported responsesRestraint useEpisodes of agitationMental illnessLast restraintMain OutcomesEligible visitsPrimary themes
2019
Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department
Wong AH, Crispino L, Parker JB, McVaney C, Rosenberg A, Ray JM, Whitfill T, Iennaco JD, Bernstein SL. Characteristics and Severity of Agitation Associated With Use of Sedatives and Restraints in the Emergency Department. Journal Of Emergency Medicine 2019, 57: 611-619. PMID: 31594740, DOI: 10.1016/j.jemermed.2019.07.019.Peer-Reviewed Original ResearchConceptsAgitated patientsOvert Aggression Scale scoresUse of sedativesRestraint useEmergency departmentOvert Aggression ScaleAggression scale scoresAgitated Behavior ScaleAgitation ScaleScale scoreSedative useHigher oddsAggression ScaleBehavior ScaleBehavioral techniquesTriage chief complaintTertiary referral centerProspective observational studyAgitation severityAlcohol/drug useSeverity Scale scoreLevel of agitationLogistic regression modelsSeverity ScaleDetection of agitation
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 resuscitationA taxonomy and cultural analysis of intra‐hospital patient transfers
Rosenberg A, Britton M, Feder S, Minges K, Hodshon B, Chaudhry SI, Jenq GY, Emerson BL. A taxonomy and cultural analysis of intra‐hospital patient transfers. Research In Nursing & Health 2018, 41: 378-388. PMID: 29722043, PMCID: PMC8459627, DOI: 10.1002/nur.21875.Peer-Reviewed Original ResearchPatient transferMedical intensive care unitGeneral medicine floorsTertiary medical centerIntensive care unitIntra-hospital transferIntra-hospital patient transfersMedicine floorCare unitEmergency departmentPatient transitionsMedical CenterPatient assignmentRight floorHospital departmentsObservations of staffCategories of activitiesHospital culturePatientsStaffEmpty bedsDepartmentHospitalDeriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department
Wong AH, Ruppel H, Crispino LJ, Rosenberg A, Iennaco JD, Vaca FE. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. The Joint Commission Journal On Quality And Patient Safety 2018, 44: 279-292. PMID: 29759261, DOI: 10.1016/j.jcjq.2017.11.011.Peer-Reviewed Original ResearchConceptsEmergency departmentCare deliveryPatient careDevelopment of evidence-based strategiesRegional health care networkPhysician assistants/nurse practitionersPatient safety literaturePatient care deliveryInterprofessional focus groupsED staff membersHealth care networkEvidence-based strategiesHealth care workersGrounded theory approachData saturationPatient aggressionCare networkCare dimensionsCare paradoxPatient encountersInterprofessional dynamicsMixed-methods approachThematic analysisFocus groupsCare workersEmergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service
Lord K, Parwani V, Ulrich A, Finn EB, Rothenberg C, Emerson B, Rosenberg A, Venkatesh AK. Emergency department boarding and adverse hospitalization outcomes among patients admitted to a general medical service. The American Journal Of Emergency Medicine 2018, 36: 1246-1248. PMID: 29605480, DOI: 10.1016/j.ajem.2018.03.043.Peer-Reviewed Original ResearchConceptsAdverse hospitalization outcomesRapid response team activationGeneral medical servicesHospitalization outcomesEmergency departmentED boardingComposite outcomeCare escalationPrimary outcomeAdverse outcomesRRT activationPatient encountersConsecutive patient encountersGeneral medicine serviceInpatient hospital stayMedical servicesEmergency department boardingED departureHospital mortalityHospital deathHospital stayED admissionPatient demographicsHospital admissionIntensive careA Qualitative Study of Multidisciplinary Providers' Experiences With the Transfer Process for Injured Children and Ideas for Improvement
Gawel M, Emerson B, Giuliano JS, Rosenberg A, Minges KE, Feder S, Violano P, Morrell P, Petersen J, Christison-Lagay E, Auerbach M. A Qualitative Study of Multidisciplinary Providers' Experiences With the Transfer Process for Injured Children and Ideas for Improvement. Pediatric Emergency Care 2018, 34: 125-131. PMID: 29346234, PMCID: PMC5792311, DOI: 10.1097/pec.0000000000001405.Peer-Reviewed Original ResearchConceptsPediatric trauma centerTrauma centerInjured childrenTransport teamLevel I pediatric trauma centerProvider experienceRegional pediatric trauma centerCommunity hospital emergency departmentHospital emergency departmentEmergency departmentCommunity hospitalEmergency providersInterprofessional providersProvider confidenceQualitative studyMultidisciplinary teamChildrenConstant comparative methodProvidersNew HavenParticipants