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改善儿童自杀意念急诊期间获得枪支的文件
Samaa Kemal1,2, Tyler Lennon1,2, Norma-Jean Simon1,3
1Division of Emergency Medicine.
Pediatrics
|March 1, 2024
概括
在紧急部门实施安全的枪支储存咨询,显著增加了对有风险的年轻人枪支获取和储存的文件. 这项质量改进倡议突出了减少儿童中枪支相关自杀的关键步骤.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 大约一半的青少年自杀都涉及枪支.
- 安全的枪支储存咨询,特别是致命手段咨询,是减少自杀风险的经过验证方法.
- 紧急诊所 (ED) 是面临自杀念头或自我伤害的青少年的关键联系点.
研究的目的:
- 增加对向急诊室 (ED) 报告有自杀念头或自我伤害的儿童获得和储存枪支的文件.
- 在13个月内实现80%的文档化率.
- 实施一项以致命手段辅导为重点的质量改进计划.
主要方法:
- 在ED中实施了一项多学科质量改进倡议.
- 干预措施包括修改精神病社会工作笔记模板,以促使讨论枪支获取和储存.
- 统计过程控制和运行图表监控的文档率.
主要成果:
- 枪支准入的文件从37.8%增加到81.6%.
- 在拥有枪支的家庭中,关于安全储存枪支实践的记录从50.0%增加到78.0%.
- 这些增加代表了文档化率的显著改善.
结论:
- 修改电子健康记录备忘录模板有效地改善了ED中自杀念头的儿童获得和储存枪支的文件.
- 需要进行进一步的研究,以确认改进的文档是否与增强的存储实践以及ED遭遇后减少的枪支自杀相关.
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