Implementation of a Standardized Screening Protocol to Improve PTSD Surveillance in First Responders

Source avec lien : Journal of Occupational and Environmental Medicine, (Prépublication), Nov-19. 10.1097/JOM.0000000000001732

Le but de ce projet d’amélioration de la qualité était de mettre en œuvre un protocole de dépistage normalisé pour identifier le syndrome de stress post-traumatique (SSPT) chez les premiers intervenants lors d’examens médicaux dans un contexte de soins primaires.

Objective: The purpose of this quality improvement project was to implement a standardized screening protocol to identify post-traumatic stress disorder (PTSD) in first responders during employment physicals in a primary care setting. Methods: A pre-/post-intervention project design was used, utilizing the PTSD Checklist for the DSM-5 (PCL-5) screening tool. Outcome measures included screening completion, positive screening rate, and referral rate. Results: A total of 331 first responders presented for employment physicals. In the post-intervention cohort, 96% (152/158) of first responders were screened. From pre- to post-intervention, first responders who screened positive increased from <1% (1/173) to 4.6% (7/152). Of those screening positive, a total of five of seven (71%) patients were referred for mental health evaluation. Conclusions: A standardized screening protocol using a validated self-assessment tool improved PTSD surveillance in first responders and triggered referral. Lisez l’article

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