270 Code De-Escalation: Effectiveness and Feasibility Pilot Study of Intervention to Decrease Restraint Use and Health Inequities in Agitation Management in a Community Hospital Emergency Department

Abstract

Restraint use in the emergency department (ED) has been shown to pose significant physical, psychological, and medicolegal risk to both patients and health care workers. Recent studies have demonstrated racial disparities in restraint application in the ED setting. This study aimed to evaluate the effectiveness of Code De-escalation, a standardized team-based approach for agitation management and assessment of perception of threatening behaviors, in reducing restraint use and racial disparities in restraint application in a community hospital emergency department.