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Overview: Safety in the Emergency Department–Improving the Care of Behavioral Health Patients
In 2018, at the request of its membership, the Academic Medical Center Patient Safety Organization (AMC PSO) convened the Emergency Medicine Behavioral Health Safety Task Force to evaluate best practices and current risks associated with the care of patients with behavioral health crises in the Emergency Department (ED). The Task Force developed a set of consensus-based recommendations and risk mitigation strategies in an attempt to help optimize care and improve patient and staff safety in this dynamic environment.
The Task Force began with a review of the latest scientific evidence, guidance, and opinion-statements from relevant professional societies, as well as input from frontline
providers.
TASK FORCE
- William Baker
Boston Medical Center
- Theodore Benzer
Massachusetts General Hospital
- Suzanne Bird
Massachusetts General Hospital
- Valerie Blathras
Beth Israel Deaconess Hospital Milton
- Kelly Branham
University of Florida
- Jennifer Brown
Mount Auburn Hospital
- Brian Cormier
Beth Israel Deaconess Hospital Milton
- Jennifer Cummings
Boston Childrens Hospital
- Lachlan Forrow
Beth Israel Deaconess Medical Center
- Sara Fisher
Massachusetts General Hospital
- Marian Girouard-Spino
South Shore Mental Health
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- Dave Gitlin
Brigham and Women’s Hospital
- Jacqueline Hobbs
University of Florida
- Margaret Janes
CRICO
- Carol Keohane
CRICO
- Luis Lobon
Brigham and Women’s Hospital
- Benjamin Milligan
Cambridge Health Alliance
- Jim Patelis
Beth Israel Deaconess Hospital Milton
- Catherine Perron
Boston Children’s Hospital
- John Puleo
Hamel, Marcin, Dunn, Reardon
& Shea, P.C.
- Phillip Rice
North Shore Medical Center
- Jeremiah Schuur
Brigham and Women’s Hospital
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STATEMENT
The recommendations for Improving the Care and Safety of Behavioral Health Patients in the emergency department were developed under the auspices of the Academic Medical Center Patient Safety Organization (AMC PSO) Emergency Medicine Behavioral Health Safety Task Force. These consensus recommendations are for informational purposes only and should not be construed or relied upon as a standard of care. The AMC PSO recommends institutions review these guidelines and consider these recommendations in light of their own resources, policies, and patient populations. Additionally, institutions should continue to review and modify these recommendations as the field continues to evolve.
While providers are encouraged to be aware of applicable laws and regulations, this document should not be construed as offering legal advice.