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.
Department of Nursing, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02125, USA.
Gen Hosp Psychiatry. 2020 Mar-Apr;63:33-38. doi: 10.1016/j.genhosppsych.2019.01.002. Epub 2019 Jan 14.
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).
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.
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.
Suicide risk can feasibly be monitored virtually in the general hospital or ED when their providers carefully select patients for low impulsivity risk.
确定通过视频技术实现患者观察的连续虚拟监测是否可用于监测综合医院和急诊部的自杀风险。
这是对 2017 年 6 月至 2018 年 3 月期间对综合医院和 ED 接受自杀预防措施的特定患者进行的一项方案回顾性分析。主要结局是接受虚拟监测的患者中发生不良事件的数量。次要结局是因行为原因停止虚拟监测的患者比例以及护士对观察类型的偏好。
39 名接受自杀预防措施的患者接受了虚拟监测。无不良事件（95%置信区间 (CI) = 0.000-0.090）。在记录了终止原因的 4/38 例中，由于行为原因而停止虚拟监测（0.105，95%CI = 0.029-0.248）。由于我们的调查回复率较低，我们无法就护士对观察类型的偏好得出结论。
当提供者仔细选择低冲动风险的患者时，综合医院或 ED 中可以切实对自杀风险进行虚拟监测。
