2024
Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol
Wong A, Nath B, Shah D, Kumar A, Brinker M, Faustino I, Boyce M, Dziura J, Heckmann R, Yonkers K, Bernstein S, Adapa K, Taylor R, Ovchinnikova P, McCall T, Melnick E. Formative evaluation of an emergency department clinical decision support system for agitation symptoms: a study protocol. BMJ Open 2024, 14: e082834. PMID: 38373857, PMCID: PMC10882402, DOI: 10.1136/bmjopen-2023-082834.Peer-Reviewed Original ResearchConceptsComputerised clinical decision supportED treatRestraint useExperiences of restraint useMental health-related visitsEmergency departmentPrevent agitationSystems-related factorsImprove patient experienceClinical decision support systemsRegional health systemClinical decision supportDe-escalation techniquesRandomised controlled trialsFormative evaluationPeer-reviewed journalsBest-practice guidanceAt-risk populationsCDS toolsThematic saturationED cliniciansPatient experienceED sitesHealth systemED physicians
2021
49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department
Wong A, Whitfill T, Ohuabunwa E, Ray J, Dziura J, Bernstein S, Taylor R. 49156 Effects of Race and Demographics on Use of Physical Restraints in the Emergency Department. Journal Of Clinical And Translational Science 2021, 5: 121-122. PMCID: PMC8827920, DOI: 10.1017/cts.2021.710.Peer-Reviewed Original ResearchEmergency departmentAlcohol useAfrican AmericansHealth systemED visitsEffects of raceIllicit drug useOdds ratioPhysical restraintSignificant oddsUse of physical restraintsPrivate insuranceLack of private insuranceRegional health systemAssociated with significant oddsNon-Hispanic ethnicityPrevent self-harmTotal ED visitsAssociated with oddsRetrospective cohort analysisAssociated with safety risksAfrican American raceStatistically significant oddsTertiary health systemSignificant demographic factors
2018
Physical Restraint Use in Adult Patients Presenting to a General Emergency Department
Wong AH, Taylor RA, Ray JM, Bernstein SL. Physical Restraint Use in Adult Patients Presenting to a General Emergency Department. Annals Of Emergency Medicine 2018, 73: 183-192. PMID: 30119940, DOI: 10.1016/j.annemergmed.2018.06.020.Peer-Reviewed Original ResearchConceptsPhysical restraint useEmergency departmentRestraint ordersRestraint usePhysical restraintDrug useRegional health systemManagement of behavioral disordersAdult emergency departmentPrevent self-harmCross-sectional studyPrevalence of agitationCross-sectional study of adult patientsAssociation of alcoholAdult patientsGeneral EDHealth systemED visitsManaging agitationMedical complaintsStudy of adult patientsVulnerable populationsSelf-harmUnique patientsTotal ED visits