A Call for Behavioral Emergency Response Teams in Inpatient Hospital Settings

A Novel Simulation-Based Multidisciplinary Verbal De-escalation Training

“…Ensuring thorough, respectful communication with a clear delineation of roles among all associates on the floor leads to better patient outcomes [12,13]. Emphasizing teamwork and patient-centered compassion as key facets of training has shown benefit in tense situations, such as de-escalating a patient, and simulation is well-suited to provide this training in an engaging and effective manner [13][14][15]. This medical/surgical floor was selected for the training due to a high number of reported incidents in which de-escalation was needed.…”

Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework

“…At Level VI, nine implementation and quality improvement studies showcased successful BRT applications, emphasizing significant decreases in workplace violence and improvements in staff perceptions of safety and competence. In addition, three Level VII expert opinion sources (Hamm et al, 2022; Parker, 2019; Parker et al, 2020) highlighted a shift from focusing on security-based responses to treatment-centered approaches, advocating for frameworks like TeamSTEPPS. Together, these findings shaped the conceptual model by emphasizing proactive interventions, early risk identification, and collaboration to prevent escalation, promote person-centered care, and address gaps in behavioral emergency management.…”

“…This approach guarantees individualized responses; integrates medical, psychological, and social interventions; and emphasizes continuous assessment and monitoring (Choi et al, 2019; Dahnke & Mulkey, 2021; Lindström et al, 2020; Mackay, 2017; Thomas et al, 2018; Whitecross et al, 2020; Yost et al, 2022; Zicko et al, 2017). By placing the patient at the center, the BCRM provides compassionate, timely, and effective care, prioritizing the patient’s safety, dignity, and well-being while establishing a groundwork for long-term recovery (Afriyie-Boateng et al, 2019; Bravo, 2017; Christensen et al, 2022; Parker et al, 2020; Rajwani et al, 2023; Whitecross et al, 2020; Yost et al, 2022).…”

Compounding Trauma: the Intersections of Racism, Law Enforcement, and Injury

“…The American College of Emergency Physicians recommendations for preventing workplace violence include deployment of security personnel, surveillance, and coordination with local law enforcement [ 37 , 38 ], but the efficacy of this strategy is unclear [ 39 , 40 ]. Proven strategies to decrease workplace violence include interdisciplinary teams trained in patient-centered care and de-escalation techniques [ 41 – 44 , 45 •, 46 ]. Consistently, increased law enforcement presence has been associated with increased perception of safety from clinicians [ 47 – 50 ], but little is known about its impact on concrete safety metrics.…”