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  1. Article ; Online: Bolstering clinician resilience through an interprofessional, web-based nightly debriefing program for emergency departments during the COVID-19 pandemic.

    Azizoddin, Desiree R / Vella Gray, Kristen / Dundin, Andrew / Szyld, Demian

    Journal of interprofessional care

    2020  Volume 34, Issue 5, Page(s) 711–715

    Abstract: The COVID-19 pandemic has instigated significant changes for health care systems. With clinician burnout rising, efforts to promote clinician resilience are essential. Within this quality improvement project, an interprofessional debriefing program ( ... ...

    Abstract The COVID-19 pandemic has instigated significant changes for health care systems. With clinician burnout rising, efforts to promote clinician resilience are essential. Within this quality improvement project, an interprofessional debriefing program (Brigham Resilience in COVID-19-pandemic Emergency Forum-BRIEF) was developed within two emergency departments (EDs). An interprofessional group of ED providers led optional, nightly debriefings using a web-based portal to connect with ED clinicians for six weeks. In total, 81 interprofessional staff participated in nightly debriefings with a 47% attendance rate. On average, three participants attended the BRIEF nightly (range = 2-8) to discuss the challenges of social distancing, scarce resources, high acuity, clinician burnout and mental health. Participation increased as rates of COVID-19 positive patients rose. Debriefing leaders provided ED leadership with summaries of clinician experiences and suggestions for improvements. Feedback supported quality improvement initiatives within the ED and greater mental health support for staff. Clinicians and administrators provided positive feedback regarding the program's impact on clinician morale, and clinical processes that promoted the safety and quality of patient care. Optional debriefing with receptive departmental leadership may be a successful tool to support clinicians and hospitals during critical events.
    MeSH term(s) Burnout, Professional/prevention & control ; COVID-19 ; Coronavirus Infections ; Emergency Service, Hospital ; Group Processes ; Health Personnel/psychology ; Humans ; Internet ; Leadership ; Pandemics ; Pneumonia, Viral ; Problem Solving ; Resilience, Psychological
    Keywords covid19
    Language English
    Publishing date 2020-09-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 1099758-1
    ISSN 1469-9567 ; 0884-3988 ; 1356-1820
    ISSN (online) 1469-9567
    ISSN 0884-3988 ; 1356-1820
    DOI 10.1080/13561820.2020.1813697
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Bolstering clinician resilience through an interprofessional, web-based nightly debriefing program for emergency departments during the COVID-19 pandemic

    Azizoddin, Desiree R. / Vella Gray, Kristen / Dundin, Andrew / Szyld, Demian

    Journal of Interprofessional Care

    2020  Volume 34, Issue 5, Page(s) 711–715

    Keywords General Medicine ; covid19
    Language English
    Publisher Informa UK Limited
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 1099758-1
    ISSN 1469-9567 ; 1356-1820
    ISSN (online) 1469-9567
    ISSN 1356-1820
    DOI 10.1080/13561820.2020.1813697
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Bolstering clinician resilience through an interprofessional, web-based nightly debriefing program for emergency departments during the COVID-19 pandemic

    Azizoddin, Desiree R / Vella Gray, Kristen / Dundin, Andrew / Szyld, Demian

    J Interprof Care

    Abstract: The COVID-19 pandemic has instigated significant changes for health care systems. With clinician burnout rising, efforts to promote clinician resilience are essential. Within this quality improvement project, an interprofessional debriefing program ( ... ...

    Abstract The COVID-19 pandemic has instigated significant changes for health care systems. With clinician burnout rising, efforts to promote clinician resilience are essential. Within this quality improvement project, an interprofessional debriefing program (Brigham Resilience in COVID-19-pandemic Emergency Forum-BRIEF) was developed within two emergency departments (EDs). An interprofessional group of ED providers led optional, nightly debriefings using a web-based portal to connect with ED clinicians for six weeks. In total, 81 interprofessional staff participated in nightly debriefings with a 47% attendance rate. On average, three participants attended the BRIEF nightly (range = 2-8) to discuss the challenges of social distancing, scarce resources, high acuity, clinician burnout and mental health. Participation increased as rates of COVID-19 positive patients rose. Debriefing leaders provided ED leadership with summaries of clinician experiences and suggestions for improvements. Feedback supported quality improvement initiatives within the ED and greater mental health support for staff. Clinicians and administrators provided positive feedback regarding the program's impact on clinician morale, and clinical processes that promoted the safety and quality of patient care. Optional debriefing with receptive departmental leadership may be a successful tool to support clinicians and hospitals during critical events.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #800635
    Database COVID19

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  4. Article ; Online: Refinement of an Emergency Department-Based, Advance Care Planning Intervention for Nurses.

    Rubin, Batsheva R / Chung, Michelle / Hasdianda, Mohammad Adrian / Gray, Tamryn F / Aaronson, Emily L / Dundin, Andrew / Egorova, Natasha A / Revette, Anna C / Berry, Donna / Ouchi, Kei

    Journal of palliative medicine

    2022  Volume 25, Issue 4, Page(s) 650–655

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Advance Care Planning ; Aged ; Communication ; Emergency Medical Services ; Emergency Service, Hospital ; Female ; Humans ; Male ; Middle Aged ; Qualitative Research
    Language English
    Publishing date 2022-01-31
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1427361-5
    ISSN 1557-7740 ; 1096-6218
    ISSN (online) 1557-7740
    ISSN 1096-6218
    DOI 10.1089/jpm.2021.0398
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Code De-Escalation: Decreasing restraint use during agitation management in a community hospital emergency department.

    Im, Dana D / Bukhman, Alice K / Joseph, Josh W / Dziobek, Jim C / Grant, Jill / Clifford, Kathleen C / Kim, Inkyu / Chen, Paul C / Schmelzer, Naomi A / Powell, Robin / Waters, Beth / Dundin, Andrew / Askman, Noah / Lassiter, Terrance / Baymon, Da'Marcus E / Shankar, Kalpana / Sanchez, Leon D

    The American journal of emergency medicine

    2023  Volume 76, Page(s) 193–198

    Abstract: Introduction: Restraint use in the emergency department (ED) can pose significant risks to patients and health care workers. We evaluate the effectiveness of Code De-escalation- a standardized, team-based approach for management and assessment of ... ...

    Abstract Introduction: Restraint use in the emergency department (ED) can pose significant risks to patients and health care workers. We evaluate the effectiveness of Code De-escalation- a standardized, team-based approach for management and assessment of threatening behaviors- in reducing physical restraint use and workplace violence in a community ED.
    Methods: A retrospective observational study of a pathway on physical restraint use among patients placed on an involuntary psychiatric hold in a community ED. This pathway includes a built-in step for the team members to systematically assess perceptions of threats from the patient behavior and threats perceived by the patient. Our primary outcome was the change in the rate of physical restraint use among patients on an involuntary psychiatric hold. Our secondary outcome was the change in the rate of workplace violence events involving all ED encounters. We evaluated our outcomes by comparing all encounters in a ten-month period before and after implementation, and compared our results to rates at neighboring community hospitals within the same hospital network.
    Results: Pre intervention there were 434 ED encounters involving a psychiatric hold, post-intervention there were 535. We observed a significant decrease in physical restraint use, from 7.4% to 3.7% (ARR 0.028 [95% CI 0.002-0.055], p < 0.05). This was not seen at the control sites.
    Conclusions: A standardized de-escalation algorithm can be effective in helping ED's decrease their use of physical restraints in management of psychiatric patients experiencing agitation.
    MeSH term(s) Humans ; Restraint, Physical/methods ; Hospitals, Community ; Emergency Service, Hospital ; Aggression ; Workplace Violence
    Language English
    Publishing date 2023-12-03
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 605890-5
    ISSN 1532-8171 ; 0735-6757
    ISSN (online) 1532-8171
    ISSN 0735-6757
    DOI 10.1016/j.ajem.2023.11.057
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: A Pivot to Palliative: An Interdisciplinary Program Development in Preparation for a Coronavirus Patient Surge in the Emergency Department.

    Dundin, Andrew / Siegert, Callie / Miller, Diane / Ouchi, Kei / Lakin, Joshua R / Bernacki, Rachelle / Sciacca, Kate

    Journal of emergency nursing

    2020  Volume 46, Issue 6, Page(s) 760–767.e1

    MeSH term(s) COVID-19/therapy ; Emergency Nursing/methods ; Emergency Service, Hospital ; Humans ; Palliative Care/methods ; Patient Care Team/organization & administration ; Program Development/methods
    Keywords covid19
    Language English
    Publishing date 2020-08-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604632-0
    ISSN 1527-2966 ; 0099-1767
    ISSN (online) 1527-2966
    ISSN 0099-1767
    DOI 10.1016/j.jen.2020.08.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: A Pivot to Palliative: An Interdisciplinary Program Development in Preparation for a Coronavirus Patient Surge in the Emergency Department

    Dundin, Andrew / Siegert, Callie / Miller, Diane / Ouchi, Kei / Lakin, Joshua R / Bernacki, Rachelle / Sciacca, Kate

    J Emerg Nurs

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #726613
    Database COVID19

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