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Related Experiment Video

Updated: May 20, 2026

A Treatment Package without Escape Extinction to Address Food Selectivity

A Treatment Package without Escape Extinction to Address Food Selectivity

Published on: August 21, 2015

Stop the escalation before it begins by using the pediatric Behavior Response Team protocol.

Karen Adkins-Bley¹, Barbara K Shaw, Josh Smith

¹Department of Risk Management, University of Michigan Health System, Ann Arbor, Michigan, USA.

Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management

|July 27, 2012

Summary

Healthcare teams can now rapidly respond to challenging patient and family situations using a new protocol. This intervention helps clinicians manage difficult hospital cases and prevent adverse events.

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Area of Science:

Healthcare Management
Clinical Psychology
Patient Safety

Background:

Clinicians face challenges caring for patients and families with inadequate coping skills during illness and hospitalization.
High-stress situations can lead to adverse events or service disruptions in healthcare settings.

Purpose of the Study:

To describe the development and implementation of a rapid response protocol at the University of Michigan Health System (UMHS).
To formalize a multidisciplinary team approach for managing challenging patient and family interactions.

Main Methods:

Established a multidisciplinary Behavioral Response Team (BRT) with representatives from psychiatry, security, and risk management.
Developed a protocol outlining the BRT's purpose, access procedures, and debriefing expectations.
Implemented the pediatric BRT protocol to provide rapid response to critical situations.

Main Results:

The BRT protocol has proven effective in managing difficult patient and family situations.
The intervention allows clinicians to provide necessary care in high-stress scenarios.
Formalized team response mitigates risks of adverse events and service disasters.

Conclusions:

The UMHS pediatric BRT protocol offers a structured approach to support clinicians caring for distressed patients and families.
Multidisciplinary rapid response teams can enhance patient care and safety in complex healthcare situations.
Effective debriefing is integral to the intervention's success and continuous improvement.