The Joint Commission should reconsider its position on virtual monitoring of suicide risk

Kroll, David S.; Shah, Sejal B.; Gorman, Janet M.

doi:10.1016/j.genhosppsych.2020.11.012

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…Another key element of success is the need for an updated internet and sturdy technology (e.g., military-grade hand-held tablets with encrypted platforms) [19]. Further, when creating frameworks and programs around telepsychiatry, it is paramount to concurrently develop provider resources and trainings to support effective and efficient use of the equipment, as well as directories of mental health services in the patient's location [46,47]. Using a continuous quality improvement cycle will also ensure that downfalls of the system are caught early and adjustments are made [47].…”

Section: Discussionmentioning

confidence: 99%

Beam Me Out: Review of Emergency Department Telepsychiatry and Lessons Learned During COVID-19

Natafgi

Childers

Pollak

et al. 2021

Curr Psychiatry Rep

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Purpose of ReviewThe aim of this review is to critically evaluate recent literature on the use of telepsychiatry in emergency departments (EDTP) and synthesize the evidence on telepsychiatry during public health emergencies. We also report on experiences and success stories from a state-wide EDTP program in South Carolina during the COVID-19 pandemic. Recent Findings We identified 12 peer-reviewed articles published between January 2019 and February 2021 that evaluated EDTP interventions and their impact on patient outcomes. The recent evidence on EDTP shows a significant association between EDTP implementation or use and decreased patients' wait time in emergency department (ED), shorter length of stay in certain settings, reduced ED revisit rates, improved ED patient disposition (e.g., more discharge to home, less observational stays, and decreased inpatient admissions), and reduced follow-up encounters involving self-harm diagnosis. Summary The EDTP virtual delivery model can help healthcare systems reduce burden of public health emergencies on providers, staff, and patients alike. While a disruption of magnitude seen by COVID-19 may be infrequent, strategies used during the pandemic may be implemented to enhance care in rural settings, and/or enhance preparedness of communities and healthcare systems during more commonly occurring natural disasters.

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