Articles Tagged With: de-escalation
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Patient and Family Complaints Require Careful Response
Healthcare organizations should have processes for responding to complaints from patients and families. The nature and seriousness of the complaint will dictate how much of a response is required.
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How the PSA Handoff Form Works
The Patient Safety Attendant Handoff Form includes patient information and SBAR boxes for PSAs and nurses to communicate.
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Violence Continues to Threaten Hospital Workers and Patients
Hospitals and other healthcare facilities struggle daily with the threat of violence from patients and visitors, requiring more effort to identify potentially violent people and take steps to prevent injury.
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ACEP Survey: Emergency Departments Under Siege
In a recent survey, two-thirds of emergency physicians reported a patient assaulted them in the past year, and more than one-third of respondents said they have been attacked more than once. The survey by ACEP revealed 31% of assaults involved a family member or friend of the patient.
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Defuse Tensions and Protect Healthcare Workers with a Mix of Unique Tactics
The focus should be on de-escalating situations before they spiral out of control.
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Risk Factors for Physical Restraint in ED
Researchers analyzed 726,417 adult visits to three hospital EDs in the Yale-New Haven Health System that occurred from 2013-2018. A total of 7,090 patients were physically restrained. Of this group, 64.8% were male, 28.8% were Black or African American, 71% presented with either Medicare or Medicaid, and 2.3% were homeless. Visits that were higher-acuity, visits later in the day, and visits with behavioral chief concerns also were more likely to include physical restraint.
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Angry Encounters Can Adversely Affect Clinical Decision-Making
A patient screams and spits at the emergency physician and nurse who are trying to determine if a life-threatening emergency exists. Another patient is extremely grateful, cooperative, and respectful. Assuming both patients presented with the exact same clinical situation, would ED providers treat them any differently? The authors of two recent studies examined this interesting question.
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Medical Groups Pool Resources to Promote Behavioral, Mental Health
Collaborative supports physicians trying to overcome barriers to integrating these services into primary practice.
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Ethical Concerns When Calling Security Is Top Tactic to Handle Agitated Patients
Police officers are not mental healthcare professionals, but often are the ones called to help a person in crisis, even if that person is in the hospital at the time. Instead, police should be teamed with a mental health professional to help de-escalate volatile situations.
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Registrars Counter Rising Tension with Calmness, Kindness
Constant changes during the pandemic have escalated the amount of tension in registration areas. Registrars explain how to defuse some difficult situations.