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 scoreExperiences 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 resuscitationDeriving 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 workers