Citation

Changchien TC, Yen YC, Wang YJ, Chang YC, Ju RS, Yen PF, Cheng YT, Shih ML, Huang YH. Psychiatr. Serv. 2019; 70(6): 518-521.

Affiliation

Department of Psychiatry (Changchien, Y-C Yen, Wang), Department of Nursing (Chang, Shih, Huang), Department of Facility Maintenance (Ju), and Department of Information Technology (P-F Yen, Cheng), E-Da Hospital, Kaohsiung, Taiwan; School of Medicine, I-Shou University, Kaohsiung (Changchien, Y-C Yen). Marcela Horvitz-Lennon, M.D., and Kenneth Minkoff, M.D., are editors of this column.

Copyright

(Copyright © 2019, American Psychiatric Association)

DOI

10.1176/appi.ps.201700512

PMID

30947637

Abstract

Inpatient suicide is a common sentinel event. However, evidence supporting effective inpatient suicide prevention measures is currently lacking. In this project, health care failure mode and effect analysis was used in a general hospital quality improvement process to identify suicide risk and reduce inpatient suicide behavior. Interventions were designed to improve steps in the process with the highest risk of failure, resulting in significantly higher consultation rates and reduction of attempted suicide.

Language: en

Keywords

Medical errors; Patient safety; Suicide and self-destructive behavior