Optimizing Bed Utilization for COVID-19 Patient Flow Protocols in a Behavioral Health Inpatient Facility using Discrete Event Simulation.

In this paper, we propose utilizing a discrete event simulation model as a decision-support tool to optimize bed capacity and configuration of Geisinger's inpatient drug and alcohol treatment facility. During the COVID-19 pandemic patient flows and processes needed to adapt to new safety protocols. The existing bed configurations are not designed for social distancing and other COVID protocols.

A Practical Approach for Monitoring the Use of Copy-Paste in Clinical Notes.

The use of copy-paste in authoring clinical notes has been widely embraced by busy providers, but inappropriate copy-paste has been lambasted by critics for introducing risks related to patient safety and regulatory compliance. At an integrated academic health system with over 4,100 providers writing notes, we developed a pragmatic approach to assess the use of copy-paste. From January 1-December 31, 2020, approximately 2.

Medication Use and Physical Assaults in the Psychiatric Emergency Department.

To evaluate the relationship between medications used to treat acute agitation (antipsychotics, mood stabilizers, and benzodiazepines) and subsequent assault incidence in the psychiatric emergency department. Medication orders and assault incident reports were obtained from electronic health records for 17,056 visits to an urban psychiatric emergency department from 2014 to 2019. Assault risk was modeled longitudinally using Poisson mixed-effects regression.