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Ali Saee - One of the best experts on this subject based on the ideXlab platform.

Susan Bastani - One of the best experts on this subject based on the ideXlab platform.

  • NAFIPS - Evaluating coordination in Emergency Response Team by using fuzzy logic through social network analysis
    2016 Annual Conference of the North American Fuzzy Information Processing Society (NAFIPS), 2016
    Co-Authors: Mahbobeh Es-haghi, Susan Bastani
    Abstract:

    Emergency management will not achieve in its goals unless it prepares members in the Emergency Response Team. Achievement of sufficient preparedness requires effective coordination among all Team members. This study aimed to use the fuzzy approach and social network analysis for the evaluation of the coordination level as the most important stage in preparedness of Emergency management. The evaluation of coordination with fuzzy approach was conducted by using the findings of density indicator of social network analysis and a standard questionnaire. The density indicator was used in order to evaluate the cohesion of coordination through trust and information interchange measures. Also, a standard questionnaire was applied to evaluate the involvement of members in issues related to Emergency management. The findings showed that there was a low level of coordination among the whole Team members and slightly related to be coordinated for confronting emergencies. Finally, this article argues that it is necessary to turn into a predictive approach in order to provide a suitable relationship for increasing coordination through creative planning and programming in order to have an ideal Emergency management.

  • Evaluating coordination in Emergency Response Team by using fuzzy logic through social network analysis
    2016 Annual Conference of the North American Fuzzy Information Processing Society (NAFIPS), 2016
    Co-Authors: Mahbobeh Es-haghi, Susan Bastani
    Abstract:

    Emergency management will not achieve in its goals unless it prepares members in the Emergency Response Team. Achievement of sufficient preparedness requires effective coordination among all Team members. This study aimed to use the fuzzy approach and social network analysis for the evaluation of the coordination level as the most important stage in preparedness of Emergency management. The evaluation of coordination with fuzzy approach was conducted by using the findings of density indicator of social network analysis and a standard questionnaire. The density indicator was used in order to evaluate the cohesion of coordination through trust and information interchange measures. Also, a standard questionnaire was applied to evaluate the involvement of members in issues related to Emergency management. The findings showed that there was a low level of coordination among the whole Team members and slightly related to be coordinated for confronting emergencies. Finally, this article argues that it is necessary to turn into a predictive approach in order to provide a suitable relationship for increasing coordination through creative planning and programming in order to have an ideal Emergency management.

  • evaluation of coordination of Emergency Response Team through the social network analysis case study oil and gas refinery
    Safety and health at work, 2015
    Co-Authors: Iraj Mohammadfam, Susan Bastani, Mahbobeh Esaghi, Rostam Golmohamadi, Ali Saee
    Abstract:

    Background The purpose of this study was to examine the cohesions status of the coordination within Response Teams in the Emergency Response Team (ERT) in a refinery.

Iraj Mohammadfam - One of the best experts on this subject based on the ideXlab platform.

Toby N Weingarten - One of the best experts on this subject based on the ideXlab platform.

  • Risk factors and outcomes of postoperative Emergency Response Team activation: a matched case-control study.
    Critical Care and Resuscitation, 2020
    Co-Authors: Matthew I Hardman, Darrell R Schroeder, Juraj Sprung, Michelle R Schmugge, Alexandre N Cavalcante, Jeffrey B Jensen, S. Chandralekha Kruthiventi, Toby N Weingarten
    Abstract:

    OBJECTIVE: To determine patient and perioperative characteristics associated with unexpected postoperative clinical deterioration as determined for the need of a postoperative Emergency Response Team (ERT) activation. DESIGN: Retrospective case-control study. SETTING: Tertiary academic hospital. PARTICIPANTS: Patients who underwent general anaesthesia discharged to regular wards between 1 January 2013 and 31 December 2015 and required ERT activation within 48 postoperative hours. Controls were matched based on age, sex and procedure. MAIN OUTCOME MEASURES: Baseline patient and perioperative characteristics were abstracted to develop a multiple logistic regression model to assess for potential associations for increased risk for postoperative ERT. RESULTS: Among 105 345 patients, 797 had ERT calls, with a rate of 7.6 (95% CI, 7.1-8.1) calls per 1000 anaesthetics (0.76%). Multiple logistic regression analysis showed the following risk factors for postoperative ERT: cardiovascular disease (odds ratio [OR], 1.61; 95% CI, 1.18-2.18), neurological disease (OR, 1.57; 95% CI, 1.11-2.22), preoperative gabapentin (OR, 1.60; 95% CI, 1.17-2.20), longer surgical duration (OR, 1.06; 95% CI, 1.02-1.11, per 30 min), Emergency procedure (OR, 1.54; 95% CI, 1.09-2.18), and intraoperative use of colloids (OR, 1.50; 95% CI, 1.17-1.92). Compared with control participants, ERT patients had a longer hospital stay, a higher rate of admissions to critical care (55.5%), increased postoperative complications, and a higher 30-day mortality rate (OR, 3.36; 95% CI, 1.73-6.54). CONCLUSION: We identified several patient and procedural characteristics associated with increased likelihood of postoperative ERT activation. ERT intervention is a marker for increased rates of postoperative complications and death.

  • risk factors and outcomes of postoperative Emergency Response Team activation a matched case control study
    Critical Care and Resuscitation, 2020
    Co-Authors: Matthew I Hardman, Darrell R Schroeder, Juraj Sprung, Chandralekha S Kruthiventi, Michelle R Schmugge, Alexandre N Cavalcante, Jeffrey B Jensen, Toby N Weingarten
    Abstract:

    Objective To determine patient and perioperative characteristics associated with unexpected postoperative clinical deterioration as determined for the need of a postoperative Emergency Response Team (ERT) activation. Design Retrospective case-control study. Setting Tertiary academic hospital. Participants Patients who underwent general anaesthesia discharged to regular wards between 1 January 2013 and 31 December 2015 and required ERT activation within 48 postoperative hours. Controls were matched based on age, sex and procedure. Main outcome measures Baseline patient and perioperative characteristics were abstracted to develop a multiple logistic regression model to assess for potential associations for increased risk for postoperative ERT. Results Among 105 345 patients, 797 had ERT calls, with a rate of 7.6 (95% CI, 7.1-8.1) calls per 1000 anaesthetics (0.76%). Multiple logistic regression analysis showed the following risk factors for postoperative ERT: cardiovascular disease (odds ratio [OR], 1.61; 95% CI, 1.18-2.18), neurological disease (OR, 1.57; 95% CI, 1.11-2.22), preoperative gabapentin (OR, 1.60; 95% CI, 1.17-2.20), longer surgical duration (OR, 1.06; 95% CI, 1.02-1.11, per 30 min), Emergency procedure (OR, 1.54; 95% CI, 1.09-2.18), and intraoperative use of colloids (OR, 1.50; 95% CI, 1.17-1.92). Compared with control participants, ERT patients had a longer hospital stay, a higher rate of admissions to critical care (55.5%), increased postoperative complications, and a higher 30-day mortality rate (OR, 3.36; 95% CI, 1.73-6.54). Conclusion We identified several patient and procedural characteristics associated with increased likelihood of postoperative ERT activation. ERT intervention is a marker for increased rates of postoperative complications and death.

  • postoperative Emergency Response Team activation at a large tertiary medical center
    Mayo Clinic proceedings, 2012
    Co-Authors: Toby N Weingarten, Sam J Venus, Francis X Whalen, Brittany J Lyne, Holly A Tempel, Sarah A Wilczewski, Bradly J Narr, David P Martin, Darrell R Schroeder, Juraj Sprung
    Abstract:

    Objective To study characteristics and outcomes associated with Emergency Response Team (ERT) activation in postsurgical patients discharged to regular wards after anesthesia.

Cdr Dennis L Spence - One of the best experts on this subject based on the ideXlab platform.

  • behavioral Emergency Response Team implementation improves patient safety staff safety and staff collaboration
    Worldviews on Evidence-based Nursing, 2017
    Co-Authors: Cdr Jennifer M Zicko, Lcdr Rebecca A Schroeder, Cdr William S Byers, Lt Adam M Taylor, Cdr Dennis L Spence
    Abstract:

    Background Staff members working on our nonmental health (non-MH) units (i.e., medical-surgical [MS] units) were not educated in recognizing or deescalating behavioral emergencies. Published evidence suggests a behavioral Emergency Response Team (BERT) composed of MH experts who assist with deescalating behavioral emergencies may be beneficial in these situations. Therefore, we sought to implement a BERT on the inpatient non-MH units at our military treatment facility. Aims The objectives of this evidence-based practice process improvement project were to determine how implementation of a BERT affects staff and patient safety and to examine nursing staffs' level of knowledge, confidence, and support in caring for psychiatric patients and patients exhibiting behavioral emergencies. Methods A BERT was piloted on one MS unit for 5 months and expanded to two additional units for 3 months. Pre- and postimplementation staff surveys were conducted, and the number of staff assaults and injuries, restraint usage, and security intervention were compared. Results The BERT responded to 17 behavioral emergencies. The number of assaults decreased from 10 (pre) to 1 (post); security intervention decreased from 14 to 1; and restraint use decreased from 8 to 1. MS staffs' level of BERT knowledge and rating of support between MH staff and their staff significantly increased. Both MS and MH nurses rated the BERT as supportive and effective. Linking evidence to action A BERT can assist with deescalating behavioral emergencies, and improve staff collaboration and patient and staff safety.