Publications by authors named "Erika Chang-Sing"

Article Synopsis
  • * A study analyzed ED visits from 2015-2022 for patients aged 65 and older, finding that 1.4% experienced chemical sedation and 3.7% physical restraints, with increased likelihood in older age groups and minoritized populations.
  • * The findings highlight the concerning rates of restraint use among older adults, especially among historically marginalized groups, suggesting a need for more research on managing agitation in these populations.
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Importance: Black patients are more likely than White patients to be restrained during behavioral crises in emergency departments (EDs). Although the perils of policing mental health for Black individuals are recognized, it is unclear whether or to what extent police transport mediates the association between Black race and use of physical restraint in EDs.

Objective: To evaluate the degree to which police transport mediates the association between Black race and use of physical restraint in EDs.

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Introduction: Police involvement in patient transport to emergency medical care has increased over time, yet studies assessing racial inequities in transport are limited. This study evaluated the relationship between race and police transport to the emergency department for adult patients.

Methods: This cross-sectional study evaluated adult (aged ≥18 years) visits at 13 different emergency departments across two regional hospital systems in the Southeastern and Northeastern U.

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Study Objective: Although electronic behavioral alerts are placed as an alert flag in the electronic health record to notify staff of previous behavioral and/or violent incidents in emergency departments (EDs), they have the potential to reinforce negative perceptions of patients and contribute to bias. We provide characterization of ED electronic behavioral alerts using electronic health record data across a large, regional health care system.

Methods: We conducted a retrospective cross-sectional study of adult patients presenting to 10 adult EDs within a Northeastern United States health care system from 2013 to 2022.

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