Emergency department safety assessment and follow-up evaluation 2: An implementation trial to improve suicide prevention
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Authors
Boudreaux, Edwin DHaskins, Brianna L.
Larkin, Celine
Pelletier, Lori
Johnson, Sharon A.
Stanley, Barbara
Brown, Gregory
Mattocks, Kristin M.
Ma, Yunsheng
UMass Chan Affiliations
Department of Population and Quantitative Health SciencesDepartment of Emergency Medicine
Document Type
Journal ArticlePublication Date
2020-08-01Keywords
Implementation scienceMental health
Quality improvement
Suicide
Suicide prevention
Emergency Medicine
Health Services Administration
Health Services Research
Mental and Social Health
Patient Safety
Psychiatry
Psychiatry and Psychology
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Show full item recordAbstract
BACKGROUND: Emergency departments (EDs) are important for preventing suicide. Historically, many patients with suicide risk are not detected during routine clinical care, and those who are often do not receive suicide-specific intervention. The original Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE 1) study examined the implementation of universal suicide risk screening and a multi-component ED-initiated suicide prevention intervention. PURPOSE: The ED-SAFE 2 aims to study the impact of using a continuous quality improvement approach (CQI) to improve suicide related care, with a focus on improving universal suicide risk screening in adult ED patients and evaluating implementation of a new brief intervention called the Safety Planning Intervention (SPI) into routine clinical practice. CQI is a quality management process that uses data and collaboration to drive incremental, iterative improvements. The SPI is a personalized approach that focuses on early identification of warning signs and execution of systematic steps to manage suicidal thoughts. ED-SAFE 2 will provide data on the effectiveness of CQI procedures in improving suicide-related care processes, as well as the impact of these improvements on reducing suicide-related outcomes. METHODS: Using a stepped wedge design, eight EDs collected data cross three study phases: Baseline (retrospective), Implementation (12 months), and Maintenance (12 months). Lean methods, a specific approach to pursuing CQI which focuses on increasing value and eliminating waste, were used to evaluate and improve suicide-related care. CONCLUSIONS: The results will build upon the success of the ED-SAFE 1 and will have a broad public health impact through promoting better suicide-related care processes and improved suicide prevention.Source
Boudreaux ED, Haskins BL, Larkin C, Pelletier L, Johnson SA, Stanley B, Brown G, Mattocks K, Ma Y. Emergency department safety assessment and follow-up evaluation 2: An implementation trial to improve suicide prevention. Contemp Clin Trials. 2020 Aug;95:106075. doi: 10.1016/j.cct.2020.106075. Epub 2020 Jun 19. PMID: 32565041. Link to article on publisher's site
DOI
10.1016/j.cct.2020.106075Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29566PubMed ID
32565041Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.cct.2020.106075