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Failure Modes and Effects Analysis for Activating a Behavioral Emergency Response Team.

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    Healthcare staff awareness of behavioral emergency response team activation is low, contributing to workplace violence. Increased marketing of protocols is crucial for recognizing behavioral cues and preventing patient violence.

    Keywords:
    Behavioral healthEmergency response teamFailure modes and effects analysisHealth care workersWorkplace aggressionWorkplace violence

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    Area of Science:

    • Healthcare Management
    • Patient Safety
    • Behavioral Health

    Background:

    • Workplace violence is a daily challenge for healthcare workers, with patients and families causing most incidents.
    • In 2018, 73% of nonfatal workplace violence injuries in healthcare settings were patient or family-related.
    • A quality improvement project was initiated to reduce workplace violence using a behavioral emergency response team.

    Purpose of the Study:

    • To analyze why the behavioral emergency response team protocol was not activated during the project.
    • To identify strategies for reducing workplace violence in healthcare settings.
    • To improve the effectiveness of the behavioral emergency response team.

    Main Methods:

    • A failure modes and effects analysis (FMEA) process was employed.
    • Risk analysis, reduction, and management in healthcare settings were assessed.
    • Staff awareness of behavioral emergency response team activation protocols was evaluated.

    Main Results:

    • The behavioral emergency response team protocol was not activated during the project period.
    • Failure modes and effects analysis indicated staff could recognize escalating behaviors.
    • However, 45% of surveyed staff (n=9) were unaware of how to activate the behavioral emergency response team.

    Conclusions:

    • Early recognition of escalating behaviors is key to preventing workplace violence.
    • Healthcare staff must promptly acknowledge behavioral cues to mitigate violence risk.
    • Increased marketing and education on behavioral emergency response team protocols are essential for staff awareness and reducing violence opportunities.