2024
Formative 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
Design 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 patients
2020
Study protocol for the ACT response pilot intervention: development, implementation and evaluation of a systems-based Agitation Code Team (ACT) in the emergency department
Wong AH, Ray JM, Auerbach MA, Venkatesh AK, McVaney C, Burness D, Chmura C, Saxa T, Sevilla M, Flood CT, Patel A, Whitfill T, Dziura JD, Yonkers KA, Ulrich A, Bernstein SL. Study protocol for the ACT response pilot intervention: development, implementation and evaluation of a systems-based Agitation Code Team (ACT) in the emergency department. BMJ Open 2020, 10: e036982. PMID: 32606062, PMCID: PMC7328814, DOI: 10.1136/bmjopen-2020-036982.Peer-Reviewed Original ResearchConceptsEmergency departmentRestraint useCode teamControlled interrupted time series designResponse interventionsRate of restraint useInterrupted time series designAcute care settingDe-escalation techniquesTime series designPeer-reviewed publicationsED staffIdentified teamworkPilot interventionCare settingsHealth systemPatient encountersAgitation managementHuman Investigation CommitteeWorkplace violenceEthical approvalStaff safetyPatient agitationReduce harmSeries design
2013
The impact of state level graduated driver licensing programs on rates of passenger restraint use and unlicensed driving in fatal crashes.
Fu J, Anderson CL, Dziura JD, Crowley MJ, Vaca FE. The impact of state level graduated driver licensing programs on rates of passenger restraint use and unlicensed driving in fatal crashes. AAAM Annual Conference 2013, 57: 89-98. PMID: 24406949, PMCID: PMC3861822.Peer-Reviewed Original ResearchPassenger restraint useRestraint useDriver licensing programsFatality Analysis Reporting SystemNational Highway Traffic Safety Administration's Fatality Analysis Reporting SystemSafety restraint useMultivariate logistic regressionGDL programsFatal crashesGDL lawHigh-risk behaviorsChi-square testUnlicensed drivingLogistic regressionOverall riskLicensing programsMultivariate modelReporting systemRiskPassenger riskSafety behaviorYoung driversYears 1996
2012
Young unlicensed drivers and passenger safety restraint use in u.s. Fatal crashes: concern for risk spillover effect?
Fu J, Anderson CL, Dziura JD, Crowley MJ, Vaca FE. Young unlicensed drivers and passenger safety restraint use in u.s. Fatal crashes: concern for risk spillover effect? AAAM Annual Conference 2012, 56: 37-43. PMID: 23169115, PMCID: PMC3503417.Peer-Reviewed Original ResearchConceptsSafety restraint useRestraint usePassenger restraint useYoung unlicensed driversDriver restraint useHigh-risk behaviorsFatal crashesFatality Analysis Reporting SystemDecreased oddsUnlicensed drivingUnlicensed driversLogistic regressionDetrimental roleSafety restraintsDriver drinkingReporting systemCrash fatalitiesImpaired drivingYearsSafety behaviorYears 1996