Featured Publications
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 networkA qualitative system dynamics model for effects of workplace violence and clinician burnout on agitation management in the emergency department
Wong 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.Peer-Reviewed Original ResearchConceptsExperience of workplace violenceClinician burnoutWorkplace violenceIncreased perceptions of safetyPhysical restraintPerceptions of safetyClinician stressWorkplace assaultsAgitated patientsEmergency departmentEffects of workplace violenceUse of restraintsQualitative system dynamics methodsModel building sessionsSymptoms of burnoutIncreased perceptionInterprofessional panelClinician stakeholdersResultsThe final modelRisk of assaultImpact future decisionsPatient safetyEpisodes of agitationAgitation managementClinician experienceDesign and Implementation of an Agitation Code Response Team in the Emergency Department
Wong 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.Peer-Reviewed Original ResearchConceptsResponse team interventionPhysical restraint useInterrupted time series analysisRestraint useEmergency departmentTeam interventionRates of physical restraint useTeam-based interventionAdministrative supportQuality improvement studyResponse teamBehavioral health systemManagement of agitated patientsInterprofessional collaborationRestraint ordersExcessive psychomotor activityRestraint ratesHealth systemED visitsImprovement studyPhysical restraintCompare trendsPrimary outcomeTime series analysisAgitated patientsAddressing 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.Peer-Reviewed Original ResearchConceptsWorkplace violenceEmergency departmentGeographically distinct institutionsHealth workersPatient assaultsThematic analysisHealthcare systemPotential interventionsEmergency preparednessPhases of preparednessIdentified conceptsHealthQualitative investigationInterventionInterconnected influencesSustained impactWorkplace safetyWorkplacePreparednessAssault experiencesComprehensive approachIndividual workersDepartmentRecovery phaseWorkers
2025
Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department
Kumar A, Ryus C, Tartak J, Nath B, Faustino I, Shah D, Robinson L, Desai R, Heckmann R, Taylor R, Wong A. Association between patient primary language, physical restraints, and intramuscular sedation in the emergency department. Academic Emergency Medicine 2025 PMID: 39948714, DOI: 10.1111/acem.70004.Peer-Reviewed Original ResearchPatient's primary languagePortuguese-speaking patientsPhysical restraintEmergency departmentPrimary languageED visitsQuality of clinical interactionsRegional health care networkHealth care networkVerbal de-escalationElectronic medical recordsLogistic regression modelsAdult patients ageLanguage speakersEnglish speakersCare networkSpanish speakersPortuguese speakersCultural interpretationRetrospective cohort analysisAgitation symptomsOdds ratioClinical interactionsEvaluate associationsPrimary outcomeCharacterizing Emergency Department Care for Patients With Histories of Incarceration
Huang T, Socrates V, Ovchinnikova P, Faustino I, Kumar A, Safranek C, Chi L, Wang E, Puglisi L, Wong A, Wang K, Taylor R. Characterizing Emergency Department Care for Patients With Histories of Incarceration. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100022. PMID: 40012663, PMCID: PMC11852703, DOI: 10.1016/j.acepjo.2024.100022.Peer-Reviewed Original ResearchCare processesHistory of incarcerationRestraint useEmergency departmentHealth care team membersMeasuring care processesCompare socio-demographic characteristicsCare team membersHealth care disparitiesEmergency department careHealth care systemSocio-demographic characteristicsUnique patient encountersMultivariate logistic regressionCare disparitiesHealth behaviorsED settingCare systemPatient encountersSubstance use historyMedical adviceLogistic regressionDemographic characteristicsTeam membersCare
2024
Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study
Fults E, Gerwin J, Boyce M, Joseph M, Wong A, Evans L. Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study. BMC Medical Education 2024, 24: 1055. PMID: 39334215, PMCID: PMC11429862, DOI: 10.1186/s12909-024-05972-4.Peer-Reviewed Original ResearchConceptsEmergency medicine resident physiciansResident physiciansQualitative studyEmergency departmentResident physicians' experiencesEmergency medicine facultyCOVID-19 pandemicResident physician trainingResidency program leadershipSocial support systemsBackgroundThe COVID-19 pandemicData saturationPhysician trainingCode teamFrontline physiciansPractice styleUrban academic institutionProgram leadershipPhysician experienceMedicine facultyResident experiencePersonal impactPhysiciansMoral injuryResident preparationFormative 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
Improving Safety and Quality During Interhospital Transfer of Patients With Nontraumatic Intracranial Hemorrhage: A Simulation-Based Pilot Program
Ray 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.Peer-Reviewed Original ResearchConceptsInterhospital transferNontraumatic intracranial hemorrhageThematic analysisRates of interhospital transfersQuality improvement initiativesQuality improvement strategiesInterhospital transfer of patientsTransfer of patientsCare handoffsCenter staff membersData saturationComplex handoffsImprovement initiativesInterprofessional debriefingFocus groupsEmergency physiciansQualitative studyEmergency departmentQuality improvementIll populationStaff membersTertiary care centerCare centerCommunication ChecklistSpecialized neurocritical care
2020
An Interprofessional Simulation-Based Orientation Program for Transitioning Novice Nurses to Critical Care Roles in the Emergency Department: Pilot Implementation and Evaluation
Roncallo 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.Peer-Reviewed Original ResearchConceptsCritical care rolesCaring roleEmergency departmentNovice nursesOrientation programResident physiciansInterprofessional simulation programHealthcare (DASHInterprofessional education teamsHigh-functioning teamsQualitative evaluation dataGroups of resident physiciansNurse participantsED nursesInterprofessional simulationProgram's long-term impactDebriefing AssessmentHealth workersTeam trainingNurse learnersNursesPatient careParticipant feedbackEmergency physiciansOrientation session
This site is protected by hCaptcha and its Privacy Policy and Terms of Service apply