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.
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.
|THE PURSUIT OF ZERO SUICIDE AMONG
PATIENTS IN HEALTHCARE
Zero Suicide is based on the belief that suicide deaths for individuals under the care of health and behavioral health systems are preventable. The fundamental belief that suicidal individuals often fall through the cracks in a sometimes fragmented and distracted health care system is addressed through a systematic approach to quality improvement in these settings.
Inspired by health care systems that had seen dramatic reductions in patient suicide, Zero Suicide began as a key concept of the 2012 National Strategy for Suicide Prevention, and quickly became a priority of National Action Alliance for Suicide Prevention and a project of Education Development Center’s Suicide Prevention Resource Center, supported by the Substance Abuse and Mental Health Services Administration.
For health care systems, the seven essential elements to suicide care represent a commitment to:
• Patient safety, the most fundamental responsibility of health care
• The safety and support of clinical staff who do the demanding work of treating and supporting suicidal patients
Zero Suicide implementation requires transformative change that cannot be the sole responsibility of practitioners providing clinical care. It requires a system-wide approach to improve outcomes and close gaps.
For information on the seven steps of the Zero Suicide Patient Tool Kit, click here.
Growing evidence demonstrates remarkable success at reducing the number of lives lost to suicide in health care systems that have committed to the Zero Suicide systematic “suicide care” approach. Zero Suicide can motivate health care and other leaders to move from partial measures to full measures in suicide prevention and better health care.
For research evidence and outcomes, 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.
The Door SwitchTM