Reducing Employee Injuries from Aggressive Patient Behavior at Children’s Hospital by Implementing a Behavioral Response Team

Pediatric Quality and Safety, Journal Year: 2025, Volume and Issue: 10(1), P. e790 - e790

Published: Jan. 1, 2025

Background: Among hospitalized children, episodes of aggressive patient behavior place healthcare staff at risk for serious injuries. By implementing a behavioral response team children’s hospital, we aimed to reduce monthly employee injuries related from 3.4 2.4 per 1,000 acute care visits during 12 months. Methods: At multidisciplinary used quality improvement methodology implement that provided proactive and reactive support caring children behavior. Full-scale implementation occurred in July 2022. We measured days between Occupational Health Safety Administration (OSHA)-recordable total (emergency department and/or hospitalizations) by patients 3 years age or older. Results: In the year after full-scale implementation, an average 101 BRT rounds 17 responses month. The maximum number OHSA-recordable increased 163 before 271 following year. Monthly decreased 1.7 Conclusions: model, which provides hospital behavior, should be considered strategy promote workplace safety.

Language: Английский

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Improving Employee Safety Through a Comprehensive Patient Behavioral Program

Hospital Pediatrics, Journal Year: 2024, Volume and Issue: 14(5), P. 356 - 363

Published: April 12, 2024

BACKGROUND Health care workers in the United States are facing increasing rates of exposure to aggressive behavior, resulting an increase employee injuries related specifically patient behavioral events. By leveraging interprofessional collaboration and system-level innovation, we aimed reduce rate events at a children’s hospital by 50% over 3-year period. METHODS An interdisciplinary quality improvement team comprising physicians, behavior analysts, nursing, other key stakeholders developed comprehensive program our hospital. The 5 pillars: aggression mitigation tools, clinical resources, advanced training, screening management, emergency response. outcome measure was reported safety This tracked via prospective time series analysis statistical process control chart using established rules detect special cause variation. RESULTS average from decreased 0.96 0.39 per 1000 adjusted patient-days, with variation observed on U-chart. has been sustained for 16 months. Staff members who experienced included nurses technicians, common antecedents including medical interventions or requests that could not be safely met. CONCLUSIONS A unified multimodal system address pediatric can foster culture inpatient setting.

Language: Английский

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Patient physical violence toward healthcare workers at a US children's hospital

Journal of Hospital Medicine, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 20, 2025

Abstract An improved understanding of patient‐related violent events toward healthcare workers (HCWs) is a critical step in mitigating patient violence the pediatric medical hospital setting. Therefore, we sought to describe timing/setting, potential antecedents to, and management HCW. Using our electronic health record (EHR), performed retrospective study physical from 2017 2022 among youth hospitalized at free‐standing children's hospital. We identified 144 associated with 75 patients. Most (66.7%) occurred after was medically cleared for discharge, most (55%) were preceded by an aversive experience trying avoid. (77.1%) received medications de‐escalation, nearly one‐half (47.9%) experienced mechanical restraints. Our results highlight challenges hospitals face while caring risk behavioral escalations support need both comprehensive in‐patient teams.

Language: Английский

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Improving clinician agreement and comfort through the development of a pediatric behavioral health huddle tool

Journal of Pediatric Nursing, Journal Year: 2024, Volume and Issue: 77, P. e327 - e334

Published: May 7, 2024

Language: Английский

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