Qualitative study of patient experiences and care observations during agitation events in the emergency department: implications for systems-based practice.
Ambrose H WongJessica M RayChristopher EixenbergerLauren J CrispinoJohn B ParkerAlana RosenbergLeah RobinsonCaitlin McVaneyJoanne DeSanto IennacoSteven L BernsteinKimberly A YonkersAnthony J PavloPublished in: BMJ open (2022)
Agitation events represented manifestations of patients' structural barriers to care from socioeconomic inequities and high burden of emotional and physical trauma as well as staff members' simultaneous exposure to external stressors from social and healthcare systems. Potential long-term solutions may include care approaches that recognise agitated patients' exposure to psychological trauma, improved coordination within the mental health emergency care network, and optimisation of physical environment conditions and organisational culture.
Keyphrases
- healthcare
- mental health
- emergency department
- palliative care
- quality improvement
- ejection fraction
- prognostic factors
- primary care
- public health
- physical activity
- pain management
- risk assessment
- depressive symptoms
- patient reported outcomes
- case report
- risk factors
- sleep quality
- peritoneal dialysis
- patient reported
- adverse drug