在儿童急诊室的普遍自杀查计划中遇到的实施障碍
Dana E M Seag1, Paige E Cervantes2, Iriane Narcisse1
1From the Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY.
Pediatric emergency care
|May 15, 2024
概括
儿童急诊室普遍进行自杀风险查的障碍包括工作流的问题和语言挑战. 改善医生教育和将查纳入临床方案是有效识别和管理的关键.
科学领域:
- 儿科急救医学 儿科急救医学
- 心理健康查 心理健康查
- 质量改善倡议 质量改善倡议
背景情况:
- 在儿科急诊室 (PEDs) 中进行普遍的自杀风险查对于识别和管理自杀行为至关重要.
- 了解这些查的障碍可以提高识别和管理策略.
研究的目的:
- 评估质量改进举措的障碍,使用一种新的计算机化适应性测试 (CAT),Kiddie-CAT,在两个PED中.
- 确定阻碍实施普遍自杀风险查的因素.
主要方法:
- 研究助理使用民族学方法来记录查班次中遇到的障碍.
- 主题内容分析将障碍按类型 (工作流,语言,态度) 和影响 (一般轮班与个人轮班) 分类.
- 还收集了拒绝原因和描述性数据.
主要成果:
- 工作流程问题 (22.9%) 和语言/理解挑战 (28%) 是个人查的主要障碍.
- 工作流的问题占总体轮班障碍的48.2%.
- 许多障碍源于有限的整合,研究助理,而不是临床工作人员,进行查.
结论:
- 临床协议的有限整合和COVID-19大流行影响了该倡议.
- 医生教育和解决工作流的问题对于在PED中成功进行普遍查至关重要.
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