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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Improving Universal Suicide Risk Screening Rates at a Children's Hospital.

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Implementing a clinical care guideline and EHR decision support significantly increased suicide risk screening compliance in a children's hospital, reaching 80% and identifying youth mental health needs.

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Area of Science:

  • Pediatric healthcare
  • Quality improvement initiatives
  • Mental health screening

Background:

  • Suicide is a leading cause of death in US youth.
  • Hospital-based screening is crucial for suicide risk assessment and intervention.
  • Current screening compliance in acute care settings is suboptimal.

Purpose of the Study:

  • To increase universal suicide risk screening compliance for pediatric patients (aged 10+) in acute care.
  • Target compliance rate was set at >= 60% within 13 months.
  • Improve early identification and intervention for at-risk youth.

Main Methods:

  • Quality improvement methodology was employed.
  • A multidisciplinary team implemented interventions including a clinical care guideline and EHR decision support.
  • Screening compliance using Ask Suicide-Screening Questions (ASQ) was measured over 13 months with a 7-month sustainment period.

Main Results:

  • Overall screening compliance increased from 27% to 80%.
  • Emergency Department (ED) compliance rose from 17% to 80%, and inpatient medical units from 55% to 76%.
  • During sustainment, 8.6% of screenings were positive (6.9% non-imminent, 1.7% imminent risk).

Conclusions:

  • A clinical care guideline with EHR decision support effectively enhanced suicide risk screening compliance.
  • The high screening positivity rate highlights significant mental health needs in pediatric acute care.
  • Sustained implementation is key to maintaining improved screening rates.