Using a Single-item Rating Scale as a Psychiatric Behavioral Management Triage Tool in the Emergency Department

Schumacher, Julie A.; Gleason, Sara H.; Holloman, Garland H.; McLeod, William “Terry”

doi:10.1016/j.jen.2010.01.013

Cited by 10 publications

(5 citation statements)

References 7 publications

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“…This study is the first to definitively show that neither the SSS nor the ESS—regardless of the cut‐point used—is sufficiently sensitive and specific for use in clinical practice. In research, a single item measure of daytime sleepiness is not adequate, but in clinical practice it may be the most practical and sensitive method for screening (Schumacher, Gleason, Holloman, & McLeod, ).…”

Section: Discussionmentioning

confidence: 99%

What is the best measure of daytime sleepiness in adults with heart failure?

Riegel

Hanlon

Zhang

et al. 2012

Journal of the American Association of Nurse Practitioners

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Purpose To identify the best screening measure of daytime sleepiness in adults with heart failure (HF). Data sources 280 adults with HF completed the Epworth Sleepiness Scale, the Stanford Sleepiness Scale, and a single Likert item measuring daytime sleepiness. The sensitivity and specificity of these self-report measures were assessed in relation to a measure of daytime dysfunction from poor sleep quality. Conclusions Only 16% of the sample reported significant daytime dysfunction due to poor sleep quality. Those reporting daytime dysfunction were likely to be younger (p<0.001), to be unmarried (p=0.002), to have New York Heart Association (NYHA) functional class IV HF (p=0.015), and to report low income (p=0.006) and fewer hours of sleep (p=0.015). The measure of daytime sleepiness that was most sensitive to daytime dysfunction was a single Likert item measured on a 10-point (1–10) scale. Patients with a score ≥ 4 were 2.4 times more likely to have daytime dysfunction than those with a score <4. Implications for practice Complaints of daytime dysfunction due to poor sleep are not common in adults with HF. Routine use of a single question about daytime sleepiness can help nurse practitioners to identify those HF patients with significant sleep issues that may require further screening.

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Section: Discussionmentioning

confidence: 99%

What is the best measure of daytime sleepiness in adults with heart failure?

Riegel

Hanlon

Zhang

et al. 2012

Journal of the American Association of Nurse Practitioners

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“…For example, the BARS tool has been used to assess the rapid effects of ziprasidone on the behavioral activity of acutely agitated youth with psychosis. 24,25 The scale is simple to use and can be implemented in non-medical settings by individuals who are not medically trained. 24 Although there is increasing use of IM olanzapine in children and adolescents to treat agitation and aggression, IM chlorpromazine continues to be used as a mainstay of therapy in the inpatient psychiatric setting.…”

Section: Introductionmentioning

confidence: 99%

Use of Intramuscular Chlorpromazine Versus Intramuscular Olanzapine for the Management of Acute Agitation and Aggression in Youth

Snyder¹,

Williams²,

Mitchell³

et al. 2021

The Journal of Pediatric Pharmacology and Therapeutics

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OBJECTIVES In the inpatient psychiatric setting, one treatment strategy used to manage acute agitation in youth includes administration of IM antipsychotics. The aim of this study was to compare the effectiveness and safety of IM chlorpromazine versus IM olanzapine in treating aggression in youth. METHODS We conducted a retrospective chart review of patients younger than 18 years hospitalized in the inpatient psychiatric unit who received either IM chlorpromazine or IM olanzapine for acute agitation. Demographic, efficacy, and tolerability data were collected using the electronic health record EPIC. The primary outcome was change from baseline to end point in the Behavioral Activity Rating Scale (BARS) score. BARS was applied retrospectively using nursing and physician documentation to evaluate for clinical response. RESULTS Among 145 patients who met the inclusion criteria, 72 received IM chlorpromazine, compared with 73 who received IM olanzapine. The mean change in BARS score (before and after IM antipsychotic) was greater with olanzapine (3.58 ± 0.99) than with chlorpromazine (3.07 ± 1.18, p = 0.006). The target BARS score of 4 was achieved more frequently with chlorpromazine (45.8%) than with olanzapine (24.7%, p < 0.008). Coadministration of IM diphenhydramine occurred significantly more often in the olanzapine group than in the chlorpromazine group (71.2% vs 36.1%, p < 0.001). CONCLUSIONS Management of acute agitation with IM olanzapine resulted in a greater change in BARS score, despite more youth requiring coadministration with diphenhydramine. In comparison, IM chlorpromazine demonstrated a higher likelihood of returning patients to baseline. Study results suggest tolerability of IM chlorpromazine and olanzapine.

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“…However, the knowledge of risk management could cover the overall procedures involved with administering the planning of risk management, identification, investigation, monitoring and also step by step clinical examination. One of the main tools for preventing adversities is evaluating and management of possible risks [1], [2].…”

Section: Introductionmentioning

confidence: 99%

A Review of Various Methods of Management of Risk in the Field of Emergency Medicine

Tavirani

Beigvand

2019

Open Access Maced J Med Sci

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BACKGROUND: The main concept of risk management in the emergency department (ED) contains a broader meaning, so that; it's known as a sudden event or situation which would happen at an uncertain future that has some negative or positive impacts which could be called threat or opportunity respectively. However, the knowledge of risk management could cover the overall procedures involved with administering the planning of risk management, identification, investigation, monitoring and also step by step clinical examination. One of the main tools for preventing adversities is evaluating and management of possible risks. AIM: One of the main objectives of the present study is recognising the most frequent types of the risk happening in the EDs. Moreover, the present study is trying to evaluate the possible risks which could happen among various ED sections. METHODS: Six databases of EMBASE, HubMed, Cochrane Library, MEDLINE, PubMed, CHBD and Goggle scholar were chosen for discovering much-related articles from the year 2005 to 2019. A total number of 68 were chosen finally to be reviewed more precisely based on the main objective of the present study. RESULTS: Precise planning, preparing sufficiently and conducting the process of continuous monitoring are needed for ensuring the fact that any possible risks could be managed through these planned strategies. On the other hand, by modifying the patients' beliefs, anticipations and the available social culture about the importance of risk management issue, the overall objective of the present study could be achieved at higher rates. CONCLUSION: Moreover, because the potential of occurrence of risk in EDs is high and approximately more than half of them are fatal, more precise adequate systematic plans for management of them should result.

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Using a Single-item Rating Scale as a Psychiatric Behavioral Management Triage Tool in the Emergency Department

Cited by 10 publications

References 7 publications

What is the best measure of daytime sleepiness in adults with heart failure?

What is the best measure of daytime sleepiness in adults with heart failure?

Use of Intramuscular Chlorpromazine Versus Intramuscular Olanzapine for the Management of Acute Agitation and Aggression in Youth

A Review of Various Methods of Management of Risk in the Field of Emergency Medicine

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