Evaluating a Behavioral Response Team in an Acute Care Hospital
Background: Patients exhibiting behavioral disturbance signs in a general acute care hospital pose significant challenges to hospital staff who are not skilled in addressing behavioral issues. Implementation of a behavioral response team (BRT) in a nonpsychiatric inpatient care unit can promote the proactive assessment of mental health status and prompt treatment to care for people exhibiting behavioral disturbances. Local problem: The number of reported cases of violence toward nurses from patients and their visitors at Community Hospital (CH) increased from 30 in 2018 to 47 in 2019. Methods: A BRT was implemented in October 2020, and the new model of care was evaluated three months later. Using the framework for program evaluation in public health of the Centers for Disease Control and Prevention, the BRT was evaluated through retrospective chart review and a survey of staff and physicians' perceptions of the management of aggression and violence at CH. Summary: Having a BRT is an effective way to reduce Type II workplace violence and associated injury to staff by 83%. The BRT model of care helped to reduce restraint use by 83% as associated morbidity and mortality associated with restraint. Conclusion: The BRT evaluation as a care model for patients who exhibit behavioral distress or at high risk for aggression or violence based on the risk assessment score on admission is a positive undertaking. A framework to guide a BRT implementation is necessary.
Penn State Only
Files are only accessible to users logged-in with a Penn State Access ID.
|Work Title||Evaluating a Behavioral Response Team in an Acute Care Hospital|
|License||Public Domain Mark 1.0|
|Publication Date||April 30, 2021|
|Deposited||April 30, 2021|
This resource is currently not in any collection.