title: Selection of employee personal protective equipment based on aggressive behavior in pediatric neuropsychiatry.
abstract: OBJECTIVE
  Hospitalized patients with a developmental or intellectual disability and a psychiatric disorder (dual-diagnosis) often pose a risk to themselves or others leading to high injury rates for their providers. Therefore, evidence-based strategies to reduce employee injuries resulting from interactions are necessary.
  
  
  METHODS
  To reduce injuries resulting from interactions with dual-diagnosis patients, the Initial Behavioural Assessment (IBA) and Protective Equipment Decision Key (PEDK) were used in inpatient neuropsychiatry. The IBA-PEDK identify patients' aggressive behaviors to provide employees with personal protective equipment (PPE). Inter-rater reliability, validity, and adherence were examined.
  
  
  RESULTS
  Injuries significantly decreased after implementing the IBA-PEDK. The average kappa coefficient was 0.64 with a 90.6% agreement. Ninety-three percent of respondents reported wearing PPE at the time of injury.
  
  
  CONCLUSIONS
  A quick, user-friendly tool that provides a standardized method for determining PPE based on patient-specific behavior can significantly reduce aggression-related injuries.
authors: a Research in Patient Services , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.|b James M. Anderson Center for Health Systems Excellence , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: Nancy M
authors: NM
authors: Daraiseh
authors: b James M. Anderson Center for Health Systems Excellence , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: Lauren A
authors: LA
authors: Summerville
authors: a Research in Patient Services , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: Li
authors: L
authors: Lin
authors: b James M. Anderson Center for Health Systems Excellence , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: DaVona
authors: D
authors: Tucker
authors: c Department of Patient Services , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: Adam K
authors: AK
authors: Hill
authors: c Department of Patient Services , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA.
authors: Katherine
authors: K
authors: Salisbury
authors: d Center for Behavior Analysis and Language Development , Shabani Institute , Santa Monica , California , USA.
authors: Michael A
authors: MA
authors: Lind
mesh_terms: D000293:Adolescent; D000328:Adult; D000374:Aggression; D002648:Child; D005260:Female; D006282:Health Personnel; D006776:Hospitals, Pediatric; D006778:Hospitals, Psychiatric; D006801:Humans; D008607:Intellectual Disability / Q000523:psychology; D008297:Male; D001523:Mental Disorders / Q000523:psychology; D058027:Neuropsychiatry / Q000295:instrumentation* / Q000379:methods; D060051:Occupational Injuries / Q000517:prevention & control*; D000067393:Personal Protective Equipment / Q000592:standards*
keywords: Autistic disorder; developmental disabilities; occupational health; personal protective equipment; safety management