Brain Injury
Quality Improvement and Implementation Science
Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Symposium
Erika Trovato, DO, MS
Co-Director, Inpatient Brain Injury Program
Burke Rehabilitation Hospital
White Plains, New York
Rachel Feld-Glazman, OT R/L
Brain Injury Program Director
The Burke Rehabilitation Hospital
White Plains, New York
Ashley Kakkanatt, MD
Resident Physician
Montefiore Medical Center
Mount Kisco, New York
Julieanne Shulman, PsyD
Chief, Rehabilitation Psychology and Neuropsychology
Burke Rehabilitation Hospital/Montefiore Medical Center
White Plains, New York
Karla Mungo, OTR/L
Behavior Management Director
The Burke Rehabilitation Hospital
Bloomsburg, Pennsylvania
Sandra Alexandrou, PT, MBA
Vice President, Inpatient Rehabilitation Services
The Burke Rehabilitation Hospital
White Plains, New York
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Post-traumatic agitation is linked to elopement, patient injuries, and prolonged restraint use which create discharge barriers leading to prolonged length of stay. An interdisciplinary team was assembled to address behavioral management challenges in three domains: environment, staffing, and behavior monitoring. After changes were made in all three areas within a period of one year, the average length of stay was reduced by 1.68 days in 2018 compared to 2017. There was also a reduction in patient falls, elopements, and restraint use. There was a 350% increase in non-violent crisis intervention trained staff.
