Development of Quality Measures for Pediatric Agitation Management in the Emergency Department

Hoffmann, Jennifer A.; Johnson, Julie K.; Pergjika, Alba; Corboy, Jacqueline B.

doi:10.1097/jhq.0000000000000339

Cited by 11 publications

(4 citation statements)

References 20 publications

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“…A plan for re-escalation is a recommended quality measure and should be a component of ongoing assessment [28 ▪▪ ]. As such, after every agitation event regardless of severity, but especially if physical restraint was involved, a debrief should be performed.…”

Section: Question: When Should I Consider Physical Restraint?mentioning

confidence: 99%

“…Standardized handoffs are recognized safety tools that improve safety by ensuring accurate communication between providers caring for the same patient [31]. Minimizing both the number of restraints and time in restraints are additional recommended quality measures for this patient population [28 ▪▪ ]. Incorporating debriefs and structured handoffs are one way to help improve these metrics [30 ▪ ].…”

Section: Question: When Should I Consider Physical Restraint?mentioning

confidence: 99%

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Approach to acute agitation in the pediatric emergency department

Foster,

Saidinejad,

2024

Current Opinion in Pediatrics

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Purpose of review The complexity of pediatric mental and behavioral health (MBH) complaints presenting to emergency departments (EDs) is increasing at an alarming rate. Children may present with agitation or develop agitation during the ED visit. This causes significant distress and may lead to injury of the child, caregivers, or medical staff. This review will focus on providing safe, patient-centered care to children with acute agitation in the ED. Recent findings Approaching a child with acute agitation in the ED requires elucidation on the cause and potential triggers of agitation for optimal management. The first step in a patient-centered approach is to use the least restrictive means with behavioral and environmental strategies. Restraint use (pharmacologic or physical restraint) should be reserved where these modifications do not result in adequate de-escalation. The provider should proceed with medications first, using the child's medication history as a guide. The use of physical restraint is a last resort to assure the safety concerns of the child, family, or staff, with a goal of minimizing restraint time. Summary Children are increasingly presenting to EDs with acute agitation. By focusing primarily on behavioral de-escalation and medication strategies, clinicians can provide safe, patient-centered care around these events.

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Section: Question: When Should I Consider Physical Restraint?mentioning

confidence: 99%

Section: Question: When Should I Consider Physical Restraint?mentioning

confidence: 99%

Approach to acute agitation in the pediatric emergency department

Foster,

Saidinejad,

2024

Current Opinion in Pediatrics

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“…Medical specialist department services are coordinated with external services such as ER, laboratory, radiology, maternity room and inpatient installation (Campbell et al, 2022). Improvement of Medical Specialist Department services needs to be done continuously to cope with rising costs of medical care, increasing population and technological developments (Hoffmann et al, 2022;Quinn et al, 2020). The flow of patient services is an important issue in the outpatient clinical process because it is one of the factors in the success of treatment and patient satisfaction (Villa et al, 2014).…”

Section: Theoretical Background and Hypothesis Developmentmentioning

confidence: 99%

Section: Theoretical Background and Hypothesis Developmentmentioning

confidence: 99%

Green hospital practices on patient’s satisfaction in Indonesian hospital: medical specialist department case investigation

Ngatindriatun,

Alfarizi,

Arifian

2023

JM2

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Purpose This study aims to explore the empirical correlation between patient flow issues, quality of green health services and patient satisfaction in specialist medical department factors from patients’ perspectives as service consumers. Design/methodology/approach This research is a type of nonintervention empirical research that uses an open survey to explore the views and experiences of users of specialist medical department services. The targeted population is hospital patients included in the top five national PERSI (Indonesian Hospital Association) Award 2022 Green Hospital Category, with a total number of respondents of 572 people. This study uses the partial least square-structural equation modeling analysis method with the SmartPLS application. Findings Patient flow problems generally affect the quality of eco-friendly health services, except for the waiting time problem, which affects service quality. It should be understood as a top priority for patients to receive services from medical specialists without risking time as a core service aspect from the patient’s perspective. In addition, all variables in eco-friendly hospital services affect patient satisfaction, except in the case of visits to specialist medical departments, which do not affect medical support services and hospital practices that are responsive to the delivery of care services resulting from medical support services that are inseparable in integrated services as well as health care following medical ethics. Originality/value This study has a novelty in understanding the implications of green practice in determining patient satisfaction in medical specialist department as the epicenter of hospital services and the main object of assessment for the quality of hospital services.

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Strategies for optimal management of pediatric acute agitation in emergency settings

Saidinejad,

Foster,

Santillanes

et al. 2024

JACEP Open

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Acute agitation in youth is a challenging presentation to the emergency department. In many cases, however, youth can be behaviorally de‐escalated using a combination of environmental modification and verbal de‐escalation. In cases where additional strategies such as pharmacologic de‐escalation or physical restraint are needed, using the least restrictive means possible, including the youth in the decision‐making process, and providing options are important. This paper reviews specific considerations on the approach to a youth with acute agitation and strategies and techniques to successfully de‐escalate agitated youth who pose a danger to themselves and/or others.

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Development of Quality Measures for Pediatric Agitation Management in the Emergency Department

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 11 publications

References 20 publications

Approach to acute agitation in the pediatric emergency department

Approach to acute agitation in the pediatric emergency department

Green hospital practices on patient’s satisfaction in Indonesian hospital: medical specialist department case investigation

Strategies for optimal management of pediatric acute agitation in emergency settings

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