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Virtual monitoring of suicide risk in the general hospital and emergency department.
Kroll, David S; Stanghellini, Escel; DesRoches, Stephanie L; Lydon, Charles; Webster, Allison; O'Reilly, Molly; Hurwitz, Shelley; Aylward, Patricia M; Cartright, Jennifer A; McGrath, Elizabeth J; Delaporta, Linda; Meyer, Anna T; Kristan, Michael S; Falaro, Laurie J; Murphy, Colin; Karno, Jennifer; Pallin, Daniel J; Schaffer, Adam; Shah, Sejal B; Lakatos, Barbara E; Mitchell, Monique T; Murphy, Christine A; Gorman, Janet M; Gitlin, David F; Mulloy, Deborah F.
Afiliação
  • Kroll DS; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA. Electronic address: dskroll@bwh.harvard.edu.
  • Stanghellini E; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • DesRoches SL; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Lydon C; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Webster A; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • O'Reilly M; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Hurwitz S; Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA.
  • Aylward PM; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Cartright JA; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • McGrath EJ; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Delaporta L; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Meyer AT; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Kristan MS; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Falaro LJ; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Murphy C; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Karno J; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Division of Social Work, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Pallin DJ; Department of Emergency Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA.
  • Schaffer A; Department of Medicine, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA.
  • Shah SB; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA.
  • Lakatos BE; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Mitchell MT; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Murphy CA; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Gorman JM; Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
  • Gitlin DF; Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA; Harvard Medical School, 250 Longwood Ave, Boston, MA 02115, USA.
  • Mulloy DF; Massachusetts Board of Registration in Medicine, 200 Harvard Mill Square, Wakefield, MA 01880, USA.
Gen Hosp Psychiatry ; 63: 33-38, 2020.
Article em En | MEDLINE | ID: mdl-30665667
ABSTRACT

OBJECTIVE:

To determine whether continuous virtual monitoring, an intervention that facilitates patient observation through video technology, can be used to monitor suicide risk in the general hospital and emergency department (ED).

METHOD:

This was a retrospective analysis of a protocol in which select patients on suicide precautions in the general hospital and ED received virtual monitoring between June 2017 and March 2018. The primary outcome was the number of adverse events among patients who received virtual monitoring for suicide risk. Secondary outcomes were the percentage of patients for whom virtual monitoring was discontinued for behavioral reasons and the preference for observation type among nurses.

RESULTS:

39 patients on suicide precautions received virtual monitoring. There were 0 adverse events (95% confidence interval (CI) = 0.000-0.090). Virtual monitoring was discontinued for behavioral reasons in 4/38 cases for which the reason for terminating was recorded (0.105, 95%CI = 0.029-0.248). We were unable to draw conclusions regarding preference for observation type among nurses due to a low response rate to our survey.

CONCLUSIONS:

Suicide risk can feasibly be monitored virtually in the general hospital or ED when their providers carefully select patients for low impulsivity risk.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Medição de Risco / Observação / Serviço Hospitalar de Emergência / Prevenção do Suicídio / Hospitais Gerais / Recursos Humanos de Enfermagem Hospitalar Idioma: En Ano de publicação: 2020 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atitude do Pessoal de Saúde / Medição de Risco / Observação / Serviço Hospitalar de Emergência / Prevenção do Suicídio / Hospitais Gerais / Recursos Humanos de Enfermagem Hospitalar Idioma: En Ano de publicação: 2020 Tipo de documento: Article