Related Experiment Video

Updated: Mar 12, 2026

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
05:52

Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis

Published on: November 21, 2013

15.6K

Selection of employee personal protective equipment based on aggressive behavior in pediatric neuropsychiatry

Nancy M Daraiseh1,2, Lauren A Summerville2, Li Lin1

  • 1a Research in Patient Services , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.

Developmental Neurorehabilitation
|October 30, 2016
PubMed

Insights

Implementing the Initial Behavioural Assessment (IBA) and Protective Equipment Decision Key (PEDK) significantly reduced injuries from dual-diagnosis patients. This tool standardizes personal protective equipment (PPE) use, enhancing staff safety in neuropsychiatry settings.

Area of Science:

  • Neuropsychiatry
  • Healthcare Safety
  • Behavioral Health

Background:

  • Hospitalized patients with dual-diagnosis (developmental/intellectual disability and psychiatric disorder) present significant risks, leading to high provider injury rates.
  • Evidence-based strategies are crucial for mitigating employee injuries during patient interactions in inpatient settings.

Purpose of the Study:

  • To evaluate the effectiveness of the Initial Behavioural Assessment (IBA) and Protective Equipment Decision Key (PEDK) in reducing staff injuries.
  • To assess the reliability, validity, and adherence of the IBA-PEDK tool in an inpatient neuropsychiatry unit.

Main Methods:

  • The IBA-PEDK tool was implemented to identify aggressive behaviors in dual-diagnosis patients.
  • Personal Protective Equipment (PPE) recommendations were provided to employees based on patient behavior assessments.
  • Inter-rater reliability, validity, and adherence to the IBA-PEDK protocol were examined.

Main Results:

  • A significant decrease in patient-related injuries to staff was observed post-implementation.
  • The IBA-PEDK demonstrated good inter-rater reliability (average kappa coefficient = 0.64) and high agreement (90.6%).
  • Ninety-three percent of injured staff reported wearing appropriate PPE at the time of the incident, indicating adherence challenges or tool limitations.

Conclusions:

  • The IBA-PEDK offers a user-friendly, standardized approach to PPE selection based on patient behavior.
  • This tool can effectively reduce aggression-related injuries in healthcare settings.
  • Standardized behavioral assessment and PPE protocols are vital for improving staff safety when managing high-risk patient populations.
Abstract

Keywords:
Autistic disorderdevelopmental disabilitiesoccupational healthpersonal protective equipmentsafety management

More Related Videos

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

88.3K
Performing Behavioral Tasks in Subjects with Intracranial Electrodes12:10

Performing Behavioral Tasks in Subjects with Intracranial Electrodes

Published on: October 2, 2014

11.9K

Related Concept Videos

Personal Protective Equipment01:20

Personal Protective Equipment

Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
2.5K
PPE Use in Healthcare Settings I: Donning01:22

PPE Use in Healthcare Settings I: Donning

Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.9K
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
2.1K
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
3.3K
PPE Use in Healthcare Settings II: Doffing01:10

PPE Use in Healthcare Settings II: Doffing

The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
1.7K