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
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