电子健康记录的开发和验证 安全规划实践的措施,作为零自杀实施的一部分
概括
电子健康记录 (EHR) 程序是为了跟踪自杀预防安全计划而开发的. 这些工具测量了诸如致命手段咨询等干预措施的使用情况,显示了改善患者安全的机会.
科学领域:
- 医疗信息学 医疗信息学
- 自杀学是一种自杀学.
- 公共卫生 公共卫生
背景情况:
- 安全规划是自杀预防计划的关键组成部分,特别是在零自杀框架内.
- 衡量安全规划实践的一致实施对于质量改进至关重要.
研究的目的:
- 开发和验证电子健康记录 (EHR) 程序,以测量安全规划的采用.
- 评估安全规划实践在六个医疗保健系统中的应用,作为零自杀评估的一部分.
主要方法:
- 使用了史丹利-布朗安全规划干预 (SBSPI) 记录在叙事笔记和结构化的EHR模板中.
- 开发和验证自然语言处理 (NLP) 度量标准,以分析安全规划的叙事文档.
- 应用NLP和标准编程来检查结构化的SBSPI模板从2010-2022.
主要成果:
- 在叙事笔记中确定了三个关键的安全规划实践:专业联系,枪支致命手段咨询和药物安全咨询.
- 通过NLP方法来识别这些实践,实现了高准确性 (灵敏度,特异性,PPV≥82%).
- 发现40%的高风险访问 (基于哥伦比亚自杀严重性评级尺度) 在实施一年内包括SBSPI模板,在卫生系统之间存在显著差异.
结论:
- 这项研究报告了基于EHR的新措施,用于跟踪自杀预防安全计划.
- 开发的方法为未来对安全规划干预措施的评估提供了有价值的工具.
- 强调需要继续努力,以优化医疗保健机构的安全规划文件和实施.
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