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Updated: Jun 7, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Pediatric ED opens behavioral health area
Insights
Akron Children's Hospital established a dedicated behavioral health unit within the Emergency Department (ED) to address patient safety and privacy concerns. This initiative involved specialized room design and parent input to mitigate patient agitation and enhance safety.
Area of Science:
- Pediatric Emergency Medicine
- Behavioral Health Services
- Healthcare Facility Design
Background:
- Rising incidents of violence in emergency departments (EDs) necessitate improved safety protocols.
- Patient privacy concerns require specialized care environments for behavioral health needs.
- Existing EDs may not be adequately equipped to manage agitated patients safely and effectively.
Purpose of the Study:
- To describe the creation of a separate behavioral health unit in a pediatric emergency department.
- To outline strategies implemented to enhance patient safety and privacy.
- To detail design considerations for minimizing patient escalation.
Main Methods:
- Establishment of a dedicated behavioral health unit within the existing ED.
- Modification of patient room design, focusing on lighting and acoustics to reduce agitation.
- Exclusion of potentially hazardous equipment and medical gases from patient rooms.
- Inclusion of parental feedback in the planning and design phases.
Main Results:
- Implementation of a specialized unit designed to de-escalate agitated patients.
- Enhanced patient safety through environmental modifications and removal of risks.
- Improved patient privacy within a dedicated behavioral health setting.
- Successful integration of family-centered care principles.
Conclusions:
- Dedicated behavioral health units can effectively address safety and privacy issues in pediatric EDs.
- Environmental design plays a crucial role in managing agitated patients.
- Collaborative approaches, including family input, are vital for successful implementation.
Abstract:
In response to a number of acts of violence and out of concern for the privacy of other patients, the ED at Akron (OH) Children's Hospital decided it was necessary to create a separate behavior health unit. Here are some of the strategies they used: Rooms were designed (i.e., lighting and sound) to minimize the risk of escalation in agitated patients. Out of concern for patient safety, there is no heavy equipment or medical gasses in the rooms. ED leadership solicited input from patients' parents before finalizing their plans.
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