Delirium & Agitation
Injuries due to workplace violence (WPV) are increasing at U.S. hospitals. There is limited data about what types of interventions actually reduce violence and risk to healthcare workers. Staff members working within the general medical hospital may not be skilled in recognizing when disruptive or threatening behaviors are escalating and how to safely deescalate such behaviors. Inappropriate management of these behaviors may result in a further escalation of the patient's disruptive behavior, placing the patient, staff, and others in danger.
Consultation-liaison psychiatrists are often considered the de factoexperts on violence and prevention in the hospitals, and requests to evaluate patients who are acutely agitated are common. In addition to patient consultations, the CL psychiatrist may be asked to educate employees and to develop and lead behavioral emergency response teams (BERT) to address violent incidents. Non-pharmacological measures including verbal intervention are typically the first step in treating the acutely agitated patient. However, few non-behavioral health staff, including fewer than 80% of psychiatry residents and only 30% of non-psychiatry residents, receive formal training in managing violent patients, and this training has been judged inadequate.
This session will include: