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US Patent # RE42,991 & RE44,039 October 2019 
In This Issue

This Month's Article 

What is a Sentinel Event?

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What is a Sentinel Event? 




The Joint Commission defines sentinel events as occurrences to patients in medical facilities “…involving death or serious physical or psychological injury, or the risk thereof." As you will note from the pie chart above, patient suicides are a comparatively frequent sentinel event identified by The Joint Commission. The Door SwitchTM was developed to mitigate the most common method of suicide employed in medical facilities—hanging using a door as a ligature point.

Please visit The Joint Commission for more information on sentinel events.

About Us 

The Door SwitchTM is the original top-of-the door ligature attempt warning system and holds U.S. Patents RE 42,991 and RE 44,039. We have been serving mental health professionals since 2006.

Each Door SwitchTM is a pressure sensor activated by approximately one to two pounds of downward pressure applied to the top, rather than the face (front or back surfaces), of the door. With system activation at the top of the door, ligature devices applied from either side of the door result in system alerts. Hospital staff are notified of system alerts by a combination of audible alarms, strobes, and door identification provided at a keypad typically located at a nurses’ station. The system utilizes proven Honeywell electronic components, including the Honeywell Vista 128BPT panel as the controller.

The Honeywell Vista 128BPT control panel provides an event log that records the times and dates of 512 events. The controller records the application of pressure to one of the system’s Door SwitchesTM, the removal of that pressure, and the turning of a key switch to silence the alarm. Logged events can be viewed from the keypad or downloaded to a computer and printed.

The Door SwitchTM has been installed in mental health facilities across the country. We are proud to state that we have many satisfied mental health facility clients and can provide you with their contact information for reference purposes.

For additional information, a demonstration of The Door SwitchTM, or a free quote, please call or email us.  

HOW CAN WE PREVENT PATIENT SUICIDES IN  
Emergency Departments?


Patient suicides continue to be a major concern in emergency departments.  Here's why:

1.) Emergency physicians often receive insufficient training in behavioral emergencies.

2.) ED personnel are uncomfortable evaluating and treating these patients.

3.) ED staff may harbor negative attitudes toward behavioral health patients.

4.) Resources such as consultants and inpatient beds are lacking.

5.) The hectic ED environment can lead to iatrogenic escalation of psychiatric crises.

For emergency departments, however, the greatest risk and safety issue related to behavioral health is the appropriate evaluation and protection of the suicidal patient in the ED.

In a blog post by The Sullivan Group, 2 case studies give real world examples of these uncommon but preventable catastrophic events.  

To read these case studies, click here

What went wrong in each of these situations? No fewer than 4 things.

1.) Failure to adequately search the patient. 

2.) 
Failure to place the patient in a secure, safe space for care. 

3.) 
Failure to comply with one-to-one observation. 

4.) Failure to properly assess a suicidal patient. 




For additional resources click 
 click here.

The Door Switch wants to continue the fight for more awareness and provide additional resources to dispel the myths about mental health issues and solutions for safety issues. We also continue to strive to provide a product that keeps the hospital environment safe. We continue to be committed to better practices and procedures in the mental health community. For information concerning our safety product, please click here

Sincerely,

The Door SwitchTM  
THE DOOR SWITCHTM IS REFERENCED IN THE OMH DESIGN GUIDE

The Door Switch™ is referenced in the OMH Guidelines! Click below to view its recommendations.
.  
See page 35 of the OHM official Patient Safety Standards Guidelines here.



The Door SwitchTM 
11772 Westline Industrial Drive
St. Louis MO 63146

(877) 998-5625 toll free
info@thedoorswitch.com




US Patent No. RE42,991 and RE44,039


 US Patent No. RE42,991 & RE44,039                                                                                    

11772 Westline Industrial Drive
Saint Louis, MO 63146
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