Behavioral Emergency Response Team Alert Disparities in a Single-Site Pediatric Hospital.

Q1 Nursing
Rachel Peterson, Edward Kim, Angela Amaniampong, Katherine Krause, Kristin Fauntleroy, Audrey Todd, Julia E LaMotte, Anthony Perkins, Sarah Johnson, Brownsyne Tucker-Edmonds, Elaine Cox
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Abstract

Background and objectives: A Behavioral Emergency Reponse Team (BERT) is a rapid response team for behavioral emergencies, which include clinical psychiatric emergencies, coping/stress reactions and physical or verbal conflicts.1 Use of BERT activations ("alerts") in inpatient pediatric populations is understudied. The objective of this study is to determine any differences by race for individuals receiving BERT alerts at a single pediatric hospital.

Methods: A cross-sectional retrospective review of all inpatient BERT alerts was conducted between January 1, 2018, and December 31, 2020. Primary outcome was presence or absence of a BERT alert during a single hospital admission (Financial Identification Number). A mixed-effects logistic regression model was conducted to test the association between race and BERT alert as well as physical restraint (PR) use, adjusting for age, gender, ethnicity, payor, and mental health diagnosis (MHD) and clustering at the patient level.

Results: A total of 683 alerts occurred between the years 2018 and 2020. Admissions for Black patients had higher odds (adjusted odds ratio [aOR], 2.1; 95% CI, 1.6-2.8; P < .001) of having a BERT alert. Admissions with private insurance had lower odds (aOR, 0.4; 95% CI, 0.3-0.5; P < .001) of any BERT alert. Having an MHD was associated with higher rates of BERT alert (46.7% vs 15.0%; P < .001) and PR use (aOR, 16.7; 95% CI, 5.1-55.0; P < .001).

Conclusion: Patients with Black race, government insurance, and MHD had a disproportionate number of BERT. MHD and BERT alerts are associated with increased PR use.

单一儿科医院的行为紧急反应小组警报差异
背景和目的:行为紧急反应小组(BERT)是一个行为紧急情况的快速反应小组,包括临床精神紧急情况,应对/压力反应和身体或言语冲突在住院儿科人群中使用BERT激活(“警报”)尚未得到充分研究。本研究的目的是确定在单一儿科医院接受BERT警报的个体的种族差异。方法:对2018年1月1日至2020年12月31日期间所有住院患者BERT警报进行横断面回顾性分析。主要结局是单次住院期间是否存在BERT警报(财务识别号码)。采用混合效应logistic回归模型检验种族与BERT警报以及肢体约束(PR)使用之间的关系,并在患者水平上调整年龄、性别、种族、付款人、心理健康诊断(MHD)和聚类。结果:2018年至2020年期间共发生了683次警报。黑人患者入院的几率更高(调整后的优势比[aOR], 2.1;95% ci, 1.6-2.8;结论:黑人、政府保险和MHD患者的BERT数量不成比例。MHD和BERT警报与PR使用的增加有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hospital pediatrics
Hospital pediatrics Nursing-Pediatrics
CiteScore
3.70
自引率
0.00%
发文量
204
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