@article{ref1,
title="Development of new quality measures for hospital-based care of suicidal youth",
journal="Academic pediatrics",
year="2018",
author="Elliott, Marc N. and Britto, Maria T. and Gidengil, Courtney A. and Murphy, J. Michael and Richardson, Laura P. and Burkhart, Q. and Bardach, Naomi S. and Parast, Layla and Mangione-Smith, Rita",
volume="18",
number="3",
pages="248-255",
abstract="OBJECTIVES: To develop, validate, and test the feasibility of implementation of four new quality measures assessing ED and inpatient care for suicidal youth. <br><br>METHODS: Four quality measures were developed to assess hospital-based care for suicidal youth. These measures, focused on counseling caregivers about a) restricting access to lethal means of self-harm and b) benefits and risks of anti-depressant medications, were operationalized into 2 caregiver surveys, assessing ED and inpatient quality, respectively. Survey field tests included caregivers of youth who received inpatient and/or ED care for suicidality at one of two children's hospitals between 7/2013-6/2014. We examined the feasibility of obtaining measure scores and variation in scores. Multivariate models examined associations between quality measure scores and four validation metrics: modified Child Hospital Consumer Assessments of Health Care Providers and Systems(©) communication composites, hospital readmissions, and ED return visits. <br><br>RESULTS: Response rates were 35% (ED) and 31% (inpatient). Most caregivers reported receiving counseling to restrict their child's access to lethal means of self-harm (90% in the ED and 96% in the inpatient setting). In the inpatient setting, caregivers reported higher rates of counseling on benefits (95%) of newly prescribed anti-depressants than risks (physical side effects 85%, increased suicidality 72%). Higher scores on the latter measure were associated with higher nurse (p<0.001) and doctor (p<0.01) communication composite scores. Measure scores were not associated with readmissions or ED return visits. <br><br>CONCLUSIONS: These new quality measures evaluate key aspects of care for suicidal youth, and may facilitate assessing quality of care for this vulnerable population.<br><br>Copyright © 2017 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1876-2859",
doi="10.1016/j.acap.2017.09.017",
url="http://dx.doi.org/10.1016/j.acap.2017.09.017"
}