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Improving effective depression care in an outpatient psychiatric clinic.
- Source :
-
Journal of the American Association of Nurse Practitioners . Mar2024, Vol. 36 Issue 3, p187-193. 7p. - Publication Year :
- 2024
-
Abstract
- Background: With more than 20 million adults experiencing a major depressive episode in 2020, depression is one of the most widespread and costly illnesses in the United States. Local problem: An audit of medical records at an outpatient psychiatric clinic revealed that none of the patients (0/56) were receiving standardized depression screening at follow-up appointments. Methods: An 8-week rapid cycle Plan-Do-Study-Act model for change was used to spearhead a quality improvement (QI) project for effective depression care. The QI project comprised ongoing data collection through chart audit every 3 days, which drove tests of change (TOC). Team engagement surveys were also assessed for change in team engagement scores. Interventions: The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression, and an effective care log (ECL) measured effective depression care. Every 2 weeks, a TOC was implemented, which guided further iterative changes throughout the project. Results: Effective depression care increased to 74% over the course of the project, surpassing the initial aim of 50%. Completion rates of the PHQ-9 (76%) and ECL (91%) increased. Team engagement (27.1) also increased over the course of the project. Conclusions: This project improved effective depression care. The success was largely due to the iterative TOCs, ECL, and team engagement. [ABSTRACT FROM AUTHOR]
- Subjects :
- *OUTPATIENT services in hospitals
*PSYCHIATRIC treatment
*QUALITATIVE research
*QUESTIONNAIRES
*TEAM building
*DESCRIPTIVE statistics
*QUANTITATIVE research
*EXPERIENCE
*SURVEYS
*TELEMEDICINE
*MATHEMATICAL models
*ELECTRONIC health records
*CISGENDER people
*THEORY
*QUALITY assurance
*MEDICAL screening
*MENTAL depression
*MEDICAL care costs
Subjects
Details
- Language :
- English
- ISSN :
- 23276886
- Volume :
- 36
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of the American Association of Nurse Practitioners
- Publication Type :
- Academic Journal
- Accession number :
- 176017576
- Full Text :
- https://doi.org/10.1097/JXX.0000000000000975