{"id":408808,"date":"2021-01-05T12:03:25","date_gmt":"2021-01-05T17:03:25","guid":{"rendered":"http:\/\/www.marketnewsdesk.com\/?p=408808"},"modified":"2021-01-05T12:03:25","modified_gmt":"2021-01-05T17:03:25","slug":"a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department","status":"publish","type":"post","link":"https:\/\/www.marketnewsdesk.com\/index.php\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\/","title":{"rendered":"A safety precautions protocol reduces self-harm for at-risk patients in the emergency department"},"content":{"rendered":"<h2>\nStudy in January 2021 issue of The Joint Commission Journal on Quality and Patient Safety<br \/>\n<\/h2>\n<div class=\"mw_release\">\n<p align=\"left\">OAKBROOK TERRACE, Ill., Jan.  05, 2021  (GLOBE NEWSWIRE) &#8212; Emergency department (ED) boarding of patients with psychiatric illness is a critical issue. These patients are twice as likely as medical patients to require inpatient admission<sup>1<\/sup> and five times more likely to board (waiting for more than a set number of hours \u2013 often 4 hours \u2013 for an inpatient bed).<sup>2<\/sup><\/p>\n<p>A new study in the January 2021 issue of <em>The Joint Commission Journal on Quality and Patient Safety<\/em>, \u201c<a href=\"https:\/\/www.globenewswire.com\/Tracker?data=DNL9alMG6ThsAYeTUW9fPG9C-h60jjLeGMHXsNDFTcedcynigqJ-pklW-Ucbn990Z_0ll-gH4EnZ_adFA6TdajWlzFxE5_XRaDFZ7XyXzIhhF9GVolerJ6jcdBAhJQBGlWTHDaqoPyjCN3gsNhHglcpqxATnLnpCO-rkiIl9rfYbFzR8PZOteknMiqFurrk1yyaSv5AgBER2sFujE8C1Y-7c_YSMRhmO_UEZLAdn0Hk=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Keeping Patients at Risk for Self-Harm Safe in the Emergency Department: A <\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=A5w7cQ0U6rUJ8v2MwZdFlgrUSt2ps_OYz7W3zQ9cDOiRe78iwIL12hwMLBOCBA8YPkW38LSZdkgJANXojMqEjDOrxUkE6UyR97cf_cXfDeve_UhiJlKHZeb3Vmfw4KqEl7CfTBRQrzvFSc9sikYfSg==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Protocolized<\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=5qxSEj9EjuOOhP0TGFfxCiEDyvmHVwFzjZBwqgJR6_kiADvevjh0GgQRqSIDQy6_xm1hKoKAuzBrTpX0agtnP6MWk8fZQ0424ikF4FneAE-OL350KAMu_NgUjQR_WJRnh7y9Fm0xQqi4YDriyXHtMg==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"> Approach<\/a>,\u201d by Abigail L. Donovan, MD, and colleagues at Massachusetts General Hospital, Boston, describes the implementation of a comprehensive safety precautions protocol for ED patients at risk for self-harm.<\/p>\n<p>A multidisciplinary team developed the protocol to include several comprehensive safety precautions, including:<\/p>\n<ul type=\"disc\">\n<li>Creating safe bathrooms<\/li>\n<li>Increasing the number and training of observers<\/li>\n<li>Managing access to belongings<\/li>\n<li>Managing clothing search or removal<\/li>\n<li>Implementing additional interventions for exceptionally high-risk patients<\/li>\n<\/ul>\n<p>The researchers measured events of attempted self-harm for 12 months before and after the new safety precautions were enacted.<\/p>\n<p>Findings showed in the 12 months prior to the protocol initiation, among 4,408 at-risk patients, there were 13 episodes of attempted self-harm (2.95 per 1,000 at-risk patients) and 6 that resulted in actual self-harm (1.36 per 1,000 at-risk patients). In the 12 months after the protocol was introduced, among 4,523 at-risk patients, there were 6 episodes of attempted self-harm (1.33 per 1,000 at-risk patients) and only 1 that resulted in actual self-harm (0.22 per 1,000 at-risk patients).<\/p>\n<p>The researchers conclude that comprehensive safety precautions can be successfully developed and implemented in the ED and stress the importance of including multidisciplinary staff in the development of the safety precautions protocol.<\/p>\n<p>\u201cWe commend the use of a multidisciplinary approach to improve ED behavioral health processes and focus on a team-based methodology for patient safety, protocol development and education,\u201d adds an <a href=\"https:\/\/www.globenewswire.com\/Tracker?data=QVVbwwqgBwmxV5PymRXEUpVAmEhn1TDC1SKnsofdei8j_Wb7RBo_7LtSd8BDP_D84XZiKzmRWsuMsLuWADQuDpY3CjIlxsg3UfhaBb08EwVO2xTEz1RZV3lDR6gkNrE-49vO2C-9P9XBdqMsgfbV9SDlIwujEiGCjsJSzOj2jU0=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">accompanying editorial<\/a> by Scott Zeller, MD and Seth Thomas, MD. \u201cThis recommended collaboration parallels recent best-practice guidelines for behavioral health patients in EDs as crafted by the Institute for Healthcare Improvement and the Emergency Medicine Council.\u201d<\/p>\n<p>The January issue is available free to the public through January 31, 2021. Also featured in the issue:\u00a0<\/p>\n<ul type=\"disc\">\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30213-0\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">What Safety Events Are Reported\u00a0for\u00a0Ambulatory Care? Analysis of Incident Reports from a Patient Safety Organization<\/a> (University of California, San Francisco)\u00a0<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30299-3\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Improving Ambulatory Safety: When Will the Time Come?<\/a> (editorial)<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30241-5\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Resilience vs. Vulnerability: Psychological Safety and\u00a0Reporting of Near Misses with Varying Proximity to Harm\u00a0in Radiation Oncology<\/a> (University of California, Los Angeles)\u00a0<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30240-3\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">A Path to Clinical Quality Integration Through a Clinically Integrated Network: The Experience of an Academic Health System and Its Community Affiliates<\/a> (University of California, San Diego)<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30247-6\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Nurses\u2019 Perceived Causes of Medication Administration Errors: A Qualitative Systematic Review<\/a> (Villanova University, Pennsylvania)<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30244-0\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Conducting Safety Research Safely: A Policy-Based Approach for Conducting Research with Peer Review Protected Material<\/a> (Massachusetts General Hospital, Boston)<\/li>\n<li>\n          <a href=\"https:\/\/www.jointcommissionjournal.com\/article\/S1553-7250(20)30243-9\/fulltext\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Bracing for the Storm: One Health Care System\u2019s Planning for the COVID-19 Surge<\/a> (University of Washington Medicine, Seattle)\u00a0<\/li>\n<\/ul>\n<p>For more information, visit\u202f<a href=\"https:\/\/www.globenewswire.com\/Tracker?data=tizalPd__hPDbPy42CoOQog1qNio1CgsRk12di_tVIJE2P7MDllUzWspHfvivaDH4sIa9_8ipoMM5ZKUjo1U5KSWudDCbo9lHdWCksOipSrPXfVOyJK8-4KE8UJU6vD9wD1EjRNvFBIqR0anXYbUaLyv-Yf-kpor5QVvv2S0BIU=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><em><u>The Joint Commission Journal on Quality and Patient Safety<\/u><\/em><\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=Vf5iE3urN6z4XUU0PXFxlAcjLcAkfm70drmsI2wKV5HNFI3aaJK51qivu_3IWvbefKxl0RhQUDuRusiEp00Fbw==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><u>\u202f<\/u><\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=LtGBwG96hhtWGyswAwZjevwMkaWApBjTqTwglZMDvSmBVTpolnQhAwOIKQvYP9hZbrmoylHspU6lbCI0puMnp4Yb4T15H7YvIb1iwpA7dAY=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><u>website<\/u><\/a>.\u202f\u202f\u202f\u202f\u00a0<\/p>\n<p align=\"left\">\n        <strong>Note for<\/strong><br \/>\n        <strong>\u202f<\/strong><br \/>\n        <strong>editors<\/strong>\u202f\u202f\u00a0<br \/>The article is\u202f\u201c<a href=\"https:\/\/www.globenewswire.com\/Tracker?data=DNL9alMG6ThsAYeTUW9fPG9C-h60jjLeGMHXsNDFTcedcynigqJ-pklW-Ucbn990Z_0ll-gH4EnZ_adFA6TdajWlzFxE5_XRaDFZ7XyXzIgf8lO8LJCd-thYR2YHyhUalym2OdAkV7rCZEilArLGmIjsnd9RRXhQxjpWNob-RbDqGkpBc_DCIWTQKXPjEThadPUZaS6KBROu03Fkjg1QScODj56WlDnN4KFo5vhKDEM=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Keeping Patients at Risk for Self-Harm Safe in the Emergency Department: A <\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=A5w7cQ0U6rUJ8v2MwZdFlrzQZgIXXE-UpE5yiyv0KKUNCEKCZ873IE1OWV_J0F4das631uuIQSWfAdQPik8W9YtFU30LkfkXuGTyHe4NkvBPOaBuAvkb7DMvjSM5b79MmJqQ4qPFKIe5_F92o5HW3Q==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">Protocolized<\/a><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=5qxSEj9EjuOOhP0TGFfxChV-0Ivp6kDuz99BOSSE3y0scKcA_0ptqFWao05eoBGQT5Kbo0T4OSSHF9FOciv7D3hAH0VSnL_5RYxLgp-Q2Zq52xQ1NjOgsJGF06JitC46Z58qQPL-k-j-8iqtwX71ag==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"> Approach<\/a>\u201d by Abigail L. Donovan, MD; Emily L. Aaronson, MD, MPH; Lauren Black, RN, MS, CEN; Sara A. Fisher, RN, MSN, MEd, PMHCNS-BC; Suzanne A. Bird, MD; Theodore Benzer, MD, PhD; and Elizabeth S. Temin, MD, MPH. The article appears in\u202f<em>The Joint Commission Journal on Quality and Patient Safety<\/em>, volume 47, number\u202f1\u202f(January 2021), published by Elsevier.\u202f\u202f\u00a0<\/p>\n<p align=\"left\">\n        <strong><br \/>\n          <em>The Joint Commission Journal on Quality and Patient Safety<\/em><br \/>\n        <\/strong>\u202f\u202f\u00a0<br \/><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=tizalPd__hPDbPy42CoOQog1qNio1CgsRk12di_tVIJE2P7MDllUzWspHfvivaDH4sIa9_8ipoMM5ZKUjo1U5JpJPsvepindpuKLTERdMZgZkXPZJygaTvxDmpDDHCWdo2xQnYDPKe490SEkai0rmpZgIiot1IiF5p5biIAehkI=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><em><u>The Joint Commission Journal on Quality and Patient Safety<\/u><\/em><\/a>\u202f(JQPS) is a peer-reviewed journal providing health care professionals with innovative thinking, strategies and practices in improving quality and safety in health care. JQPS is\u00a0the official journal of\u202f<a href=\"https:\/\/www.globenewswire.com\/Tracker?data=tizalPd__hPDbPy42CoOQhywSgbwHIW0Nu5qdQhgWTaDNJ4VUvvmvYBZYv5OgW-3F3jIEkXASy651pFl5sFCJscqMolRIpRIMmntxC5GfJg=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><u>The Joint Commission<\/u><\/a>\u202fand\u202f<a href=\"https:\/\/www.globenewswire.com\/Tracker?data=vuQYoPlk4B1b7UvqvyyfAdIoC8Y7UUtEotFaLjKS6qDETDY7GeApXOy5Yge4HgcpByUpTulsrJIGMawgCBX7WF6oubDxK2qG4BPiCluMNv0=\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><u>Joint Commission Resources, Inc<\/u><\/a>. Original case studies, program or project reports, reports of new methodologies or the new application of methodologies, research studies, and commentaries on issues and practices are all considered.<\/p>\n<p>_______________________________<\/p>\n<p>\n        <sup>1<\/sup> Agency for Healthcare Research and Quality. HCUP Statistical Brief 92. Mental Health and Substance Abuse-Related Emergency Department Visits Among Adults, 2007. Owens PL, Mutter R, Stocks C. Jul 2010. Accessed Sep 4, 2020. http:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb92.pdf.<br \/><sup>2<\/sup> Nolan JM, et al. Psychiatric boarding incidence, duration, and associated factors in United States emergency departments. J Emerg Nurs. 2015;41:57-64.<\/p>\n<p>\n        <strong>Media Contact:<\/strong>\u202f\u202f\u00a0<br \/>Katie Bronk\u202f\u202f\u00a0<br \/>Corporate Communications\u202f\u202f\u202f\u00a0<br \/>(630) 792-5175\u202f\u202f\u00a0<br \/><a href=\"https:\/\/www.globenewswire.com\/Tracker?data=G9zYfmOz1XV_RRPRFk05TYrkuSvlYjyt2APdT9_Wa8Ycb3hSPKObk3p9ABLkG4CZUH2QpZLKDBA9RNEULW0ndUmXKlt-H10dmGFf5AFEBs2Nk3-hr2KMfvQvmQj2cIGf\" rel=\"nofollow noopener noreferrer\" target=\"_blank\"><u>kbronk@jointcommission.org<\/u><\/a>\u202f\u202f\u00a0<br \/>\u202f\u202f\u00a0<br \/>View the <a href=\"https:\/\/www.globenewswire.com\/Tracker?data=CAf9gwGDWKai9OEzFTVcyJHeFckWCYCgSpmDpDsnzz3JZ9tOiLoq9zHf10RQ3GK0nRLuJMEyjD96gwgeqD-RR88ulIH1dRgm1K8NmhCSbOppY-TzZfuUd2K62MGN6CrihnnAmQq4sxP8Nki1uTj6Sg==\" rel=\"nofollow noopener noreferrer\" target=\"_blank\">multimedia news release<\/a><\/p>\n<p>      <img loading=\"lazy\" decoding=\"async\" class=\"__GNW8366DE3E__IMG\" src=\"https:\/\/www.globenewswire.com\/newsroom\/ti?nf=ODEyMDg4MCMzODk4Nzg5IzUwMDA3MjI2OA==\" width=\"1\" height=\"1\" \/><br \/>\n      <br \/>\n      <img loading=\"lazy\" decoding=\"async\" class=\"__GNW8366DE3E__IMG\" src=\"https:\/\/ml.globenewswire.com\/release\/track\/67d2384a-e903-4852-851c-0e7e545f822e\" width=\"1\" height=\"1\" \/>\n    <\/div>\n<div class=\"mw_contactinfo\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Study in January 2021 issue of The Joint Commission Journal on Quality and Patient Safety OAKBROOK TERRACE, Ill., Jan. 05, 2021 (GLOBE NEWSWIRE) &#8212; Emergency department (ED) boarding of patients with psychiatric illness is a critical issue. These patients are twice as likely as medical patients to require inpatient admission1 and five times more likely to board (waiting for more than a set number of hours \u2013 often 4 hours \u2013 for an inpatient bed).2 A new study in the January 2021 issue of The Joint Commission Journal on Quality and Patient Safety, \u201cKeeping Patients at Risk for Self-Harm Safe in the Emergency Department: A Protocolized Approach,\u201d by Abigail L. Donovan, MD, and colleagues at Massachusetts General Hospital, Boston, describes &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/www.marketnewsdesk.com\/index.php\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;A safety precautions protocol reduces self-harm for at-risk patients in the emergency department&#8221;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-408808","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A safety precautions protocol reduces self-harm for at-risk patients in the emergency department - Market Newsdesk<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.marketnewsdesk.com\/index.php\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A safety precautions protocol reduces self-harm for at-risk patients in the emergency department - Market Newsdesk\" \/>\n<meta property=\"og:description\" content=\"Study in January 2021 issue of The Joint Commission Journal on Quality and Patient Safety OAKBROOK TERRACE, Ill., Jan. 05, 2021 (GLOBE NEWSWIRE) &#8212; Emergency department (ED) boarding of patients with psychiatric illness is a critical issue. These patients are twice as likely as medical patients to require inpatient admission1 and five times more likely to board (waiting for more than a set number of hours \u2013 often 4 hours \u2013 for an inpatient bed).2 A new study in the January 2021 issue of The Joint Commission Journal on Quality and Patient Safety, \u201cKeeping Patients at Risk for Self-Harm Safe in the Emergency Department: A Protocolized Approach,\u201d by Abigail L. Donovan, MD, and colleagues at Massachusetts General Hospital, Boston, describes &hellip; Continue reading &quot;A safety precautions protocol reduces self-harm for at-risk patients in the emergency department&quot;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.marketnewsdesk.com\/index.php\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\/\" \/>\n<meta property=\"og:site_name\" content=\"Market Newsdesk\" \/>\n<meta property=\"article:published_time\" content=\"2021-01-05T17:03:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.globenewswire.com\/newsroom\/ti?nf=ODEyMDg4MCMzODk4Nzg5IzUwMDA3MjI2OA==\" \/>\n<meta name=\"author\" content=\"Newsdesk\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Newsdesk\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/\"},\"author\":{\"name\":\"Newsdesk\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/#\\\/schema\\\/person\\\/482f27a394d4fda80ecb5499e519d979\"},\"headline\":\"A safety precautions protocol reduces self-harm for at-risk patients in the emergency department\",\"datePublished\":\"2021-01-05T17:03:25+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/\"},\"wordCount\":749,\"image\":{\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.globenewswire.com\\\/newsroom\\\/ti?nf=ODEyMDg4MCMzODk4Nzg5IzUwMDA3MjI2OA==\",\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/\",\"url\":\"https:\\\/\\\/www.marketnewsdesk.com\\\/index.php\\\/a-safety-precautions-protocol-reduces-self-harm-for-at-risk-patients-in-the-emergency-department\\\/\",\"name\":\"A safety precautions protocol reduces self-harm for at-risk patients in the emergency department - 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