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Table 2 Outcome measures and definitions

From: The Disruptive bEhavior manageMEnt ANd prevention in hospitalized patients using a behaviORal intervention team (DEMEANOR) study protocol: a pragmatic, cluster, crossover trial

Outcome

Definition

How we measure

Primary

Violence control measures utilized, or patient injurious behaviors reported

Composite of violence control nursing intervention; PRN medication administration of quetiapine, alprazolam, clonazepam, haloperidol, lorazepam, olanzapine, risperidone, or ziprasidone for behavior management; or nursing problem of violence risk or injurious behavior

Extraction of nursing documentation and medication administration from the electronic health record

Nurse comfort and confidence in their ability to manage patients exhibiting disruptive, threatening, or acting out behavior

Staff perceptions of workplace violence/safety, as well as perceived confidence, comfort, and most helpful training/support received

A behavioral health survey administered via Research Electronic Data Capture (REDCap) prior to intervention, 1 month after intervention began, and at the conclusion of the intervention

Secondary

Rate of unit nursing staff retention

Amount of turnover (departure from the organization) experienced on each study unit while the study was conducted

Extracted from human resources records

Patient length of staya

Number of days a patient spends in the hospital from the time of the order to admit to the time of discharge

Extracted from the electronic health record

Individual components of the primary outcome:

• Violence control intervention

• PRN medications for behavior management

• Nursing problem of violence risk or injurious behavior

As above

As above

Use of restraints

Use of physical or chemical restraints to control patient behavior

Extracted from the electronic health record

Use of sitters/patient attendants

Use of sitters/patient attendants for patient observation

Extracted from the electronic health record

  1. aResource length of stay (RLOS): indicates hospital resource/bed utilization, irrespective of the change in patient status. The measure excludes the time that encounters spend as an “emergency department”-type patient but begins the instant a patient is given an order to admit as an inpatient and ends at discharge. This metric thus includes time a patient is in an emergency department bed, in the post-anesthesia care unit, or other location but has an inpatient status. The metric is viewed by average and median, and adjusted by the total Case Mix Index