Skip to main content
Full access
Influential Publications
Published Online: 16 January 2023

Exploring Bias in Restraint Use: Four Strategies to Mitigate Bias in Care of the Agitated Patient in the Emergency Department

Abstract

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.
Reprinted from Acad Emerg Med 2021; 28:1061–1066, with permission from John Wiley & Sons. Copyright © 2021

Formats available

You can view the full content in the following formats:

Information & Authors

Information

Published In

History

Published in print: Winter 2023
Published online: 16 January 2023

Keywords

  1. agitation management
  2. implicit bias
  3. racism
  4. restraint use

Authors

Details

Rowen O. Jin, M.D. [email protected]
Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, California, USA (Jin). Special Projects and Innovation, Emergency Medicine Residency Program, Dignity Health–St. Joseph’s Medical Center, Stockton, California, USA (Anaebere). Department of Epidemiology and Biostatistics, University of California at Berkeley, Berkeley, California, USA (Haar).
Tiffany C. Anaebere, M.D.
Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, California, USA (Jin). Special Projects and Innovation, Emergency Medicine Residency Program, Dignity Health–St. Joseph’s Medical Center, Stockton, California, USA (Anaebere). Department of Epidemiology and Biostatistics, University of California at Berkeley, Berkeley, California, USA (Haar).
Rohini J. Haar, M.D., M.P.H.
Department of Emergency Medicine, LAC+USC Medical Center, Los Angeles, California, USA (Jin). Special Projects and Innovation, Emergency Medicine Residency Program, Dignity Health–St. Joseph’s Medical Center, Stockton, California, USA (Anaebere). Department of Epidemiology and Biostatistics, University of California at Berkeley, Berkeley, California, USA (Haar).

Notes

Correspondence: Rowen O. Jin, MD, Emergency Physician, LAC+USC, Los Angeles, CA 90033-1029, USA. Email: [email protected].

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard

View Options

View options

PDF/EPUB

View PDF/EPUB

Full Text

View Full Text

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Purchase Options

Purchase this article to access the full text.

PPV Articles - Focus

PPV Articles - Focus

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

Media

Figures

Other

Tables

Share

Share

Share article link

Share