Patricia K. Howard

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This clinical policy provides evidence-based recommendations on select issues in the management of adult patients with mild traumatic brain injury (TBI) in the acute setting. It is the result of joint efforts between the American College of Emergency Physicians and the Centers for Disease Control and Prevention and was developed by a multidisciplinary(More)
This article describes the risk factors and protective strategies associated with workplace violence perpetrated by patients and visitors against healthcare workers. Perpetrator risk factors for patients and visitors in healthcare settings include mental health disorders, drug or alcohol use, inability to deal with situational crises, possession of weapons,(More)
INTRODUCTION In a quasi-experimental study, control and intervention group outcomes were compared following implementation of alcohol screening, brief intervention, and referral to treatment (SBIRT) by emergency nurses. The primary hypothesis was: Trauma patients who participate in nurse-delivered ED SBIRT will have greater reductions in alcohol consumption(More)
From the EMSC Panel (Writing Committee) on Critical Issues in the Sedation of Pediatric Patients in the Emergency Department: Sharon E. Mace, MD, Chair, American College of Emergency Physicians (ACEP) Lance A. Brown, MD, MPH (ACEP) Lisa Francis, BSN, RN (Society of Pediatric Nurses) Steven A. Godwin, MD (ACEP) Sigrid A. Hahn, MD (ACEP) Patricia Kunz Howard,(More)
INTRODUCTION In this article, we present a simulation study conducted in the emergency department at the University of Kentucky Chandler Hospital. METHODS Based on analysis of process and flow data, a simulation model of patient throughput in the emergency department has been developed. RESULTS What-if analyses have been proposed to identify bottlenecks(More)
Ovarian and behavioral cyclicity were studied during 3-5 estrous cycles in a group of 10 multiparous, Nubian does. Changes in ovarian morphology throughout the estrous cycle were identified and photographed laparoscopically. Forty-eight estrous cycles were observed during the study and of these, 21 were abnormally short in duration (mean +/- SEM, 6.5 +/-(More)
OBJECTIVE The emergency department (ED) is among the most at-risk settings for violence by patients and visitors against ED workers. A first response to potential or actual events of workplace violence is often contacting hospital security officers for assistance. The purpose of this study is to describe ED workers' views of security officers' effectiveness(More)
BACKGROUND The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfaction as well as optimizing care. The use(More)
This study sought to determine parents' beliefs about children and gun safety. A survey was sent to 230 parents of elementary age children addressing their beliefs about firearm storage, firearm safety training for children, and whether or not their child would handle a gun. Findings are based on the 82 returned surveys. Parents believed safe firearm(More)