Exploring bias in restraint use: Four strategies to mitigate bias in care of the agitated patient in the emergency department

Agitation is a routine and increasingly common presentation to the emergency department (ED). In the wake of a national examination into racism and police use of force, this article aims to extend that reflection into emergency medicine in the management of patients presenting with acute agitation....

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Bibliographic Details
Published inAcademic emergency medicine Vol. 28; no. 9; pp. 1061 - 1066
Main Authors Jin, Rowen O., Anaebere, Tiffany C., Haar, Rohini J.
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.09.2021
Subjects
agitation management
Behavior disorders
Bias
Emergency medical care
implicit bias
Medical ethics
Racism
restraint use
racism
Implicit bias
agitation management
restraint use
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Summary:Agitation is a routine and increasingly common presentation to the emergency department (ED). In the wake of a national examination into racism and police use of force, this article aims to extend that reflection into emergency medicine in the management of patients presenting with acute agitation. Through an overview of ethicolegal considerations in restraint use and current literature on implicit bias in medicine, this article provides a discussion on how bias may impact care of the agitated patient. Concrete strategies are offered at an individual, institutional, and health system level to help mitigate bias and improve care.
Bibliography:Makini Chisolm‐Straker, MD, MPH.
Co‐first authors
Supervising Editor
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1069-6563
1553-2712
DOI:10.1111/acem.14277