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Using Multisite Process Mapping to Aid Care Improvement: An Examination of Inpatient Suicide-Screening Procedures.

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    Summary

    This study assessed suicide prevention practices in Veterans Affairs medical centers. It identified strengths and areas for improvement in inpatient suicide prevention efforts.

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    Area of Science:

    • Healthcare Quality Improvement
    • Patient Safety
    • Mental Health Services Research

    Background:

    • Suicide is a critical concern within medical settings, particularly in inpatient units.
    • Existing suicide prevention practices in general medical and inpatient units require thorough assessment.
    • Veterans Affairs (VA) medical centers face unique challenges in addressing suicide prevention.

    Purpose of the Study:

    • To conduct a baseline assessment of current suicide prevention practices in VA medical inpatient units.
    • To identify best practices and areas for improvement in suicide prevention strategies.
    • To advance knowledge and inform policy for suicide prevention within a complex health system.

    Main Methods:

    • Utilized multisite process mapping across eight VA medical centers.
    • Employed a heuristic process to identify best practices and recommendations.
    • Conducted an interprofessional and multisite approach for consensus building.

    Main Results:

    • Identified strengths in current prevention efforts and resource accessibility.
    • Discovered opportunities for improvement in risk detection, response, and patient-centered care.
    • Generated solutions for sustained change in suicide prevention across the health system.

    Conclusions:

    • Multisite process mapping effectively identified system-level and site-based improvements.
    • Interprofessional collaboration is key to enhancing suicide prevention strategies.
    • The initiative provided a framework for advancing suicide prevention in complex healthcare environments.