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Implementation of the Agitated Behavior Scale in the Electronic Health Record

Wilson, Helen John DNP1; Dasgupta, Kritis MD2; Michael, Kathleen PhD3

doi: 10.1002/rnj.297

Purpose: The purpose of the study was to implement an Agitated Behavior Scale through an electronic health record and to evaluate the usability of the scale in a brain injury unit at a rehabilitation hospital.

Design: A quality improvement project was conducted in the brain injury unit at a large rehabilitation hospital with registered nurses as participants using convenience sampling.

Methods: The project consisted of three phases and included education, implementation of the scale in the electronic health record, and administration of the survey questionnaire, which utilized the system usability scale.

Findings: The Agitated Behavior Scale was found to be usable, and there was 92.2% compliance with the use of the electronic Electronic Agitated Behavior Scale.

Conclusion: The Agitated Behavior Scale was effectively implemented in the electronic health record and was found to be usable in the assessment of agitation.

Clinical Relevance: Utilization of the scale through the electronic health record on a daily basis will allow for an early identification of agitation in patients with traumatic brain injury and enable prompt interventions to manage agitation.

1 Adventist HealthCare Physical Health and Rehabilitation, Rockville, MD, USA

2 Brain Injury Program, Medstar National Rehabilitation Network, Washington, DC, USA

3 University of Maryland School of Nursing, Baltimore, MD, USA

Correspondence: Helen John Wilson, Adventist HealthCare Physical Health and Rehabilitation, 9909 Medical Center Drive, Rockville, MD 20850. E-mail:

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Accepted July 1, 2016.

Cite this article as: Wilson H. J., Dasgupta K., & Michael K. (2018). Implementation of the Agitated Behavior Scale in the electronic health record. Rehabilitation Nursing, 43(1), 21–25. doi: 10.1002/rnj.297

© 2018 Association of Rehabilitation Nurses.
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