@article{ref1,
title="Emergency department safety assessment and follow-up evaluation 2: An implementation trial to improve suicide prevention",
journal="Contemporary clinical trials",
year="2020",
author="Boudreaux, Edwin D. and Haskins, Brianna L. and Larkin, Celine and Pelletier, Lori and Johnson, Sharon A. and Stanley, Barbara and Brown, Gregory and Mattocks, Kristin and Ma, Yunsheng",
volume="95",
number="",
pages="e106075-e106075",
abstract="BACKGROUND: Emergency departments (EDs) are important for preventing suicide. Historically, many patients with suicide risk are not detected during routine clinical care, and those who are often do not receive suicide-specific intervention. The original Emergency Department Safety Assessment and Follow-up Evaluation (ED-SAFE 1) study examined the implementation of universal suicide risk screening and a multi-component ED-initiated suicide prevention intervention. PURPOSE: The ED-SAFE 2 aims to study the impact of using a continuous quality improvement approach (CQI) to improve suicide related care, with a focus on improving universal suicide risk screening in adult ED patients and evaluating implementation of a new brief intervention called the Safety Planning Intervention (SPI) into routine clinical practice. CQI is a quality management process that uses data and collaboration to drive incremental, iterative improvements. The SPI is a personalized approach that focuses on early identification of warning signs and execution of systematic steps to manage suicidal thoughts. ED-SAFE 2 will provide data on the effectiveness of CQI procedures in improving suicide-related care processes, as well as the impact of these improvements on reducing suicide-related outcomes. METHODS: Using a stepped wedge design, eight EDs collected data cross three study phases: Baseline (retrospective), Implementation (12 months), and Maintenance (12 months). Lean methods, a specific approach to pursuing CQI which focuses on increasing value and eliminating waste, were used to evaluate and improve suicide-related care. CONCLUSIONS: The results will build upon the success of the ED-SAFE 1 and will have a broad public health impact through promoting better suicide-related care processes and improved suicide prevention.<p /><p>Language: en</p>",
language="en",
issn="1551-7144",
doi="10.1016/j.cct.2020.106075",
url="http://dx.doi.org/10.1016/j.cct.2020.106075"
}