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REACH VET is a U.S. Veterans Health Administration program. A statistical model flags veterans in a very small top tier of risk each month, and a clinician who knows the patient reviews the chart and makes contact. Identification is not a diagnosis of suicidal intent. The program exists to prompt a human conversation and a look at whether care should change.
Veterans Health Administration facilities. The model runs monthly on patients seen in the prior two years. Policy expects outreach to the top 0.1% tier at each facility.
A program evaluation reported that by late 2020 nearly all identified veterans had been contacted and had care reviewed. The same paper associated the program, after age and sex adjustment, with a 5% lower probability of a documented suicide attempt, plus more outpatient contact and safety planning. That is a program association, not a statement that the score predicts an individual death.
McCarthy et al., Psychiatric Services · 2023년 2월 1일 · 연도 2023
색인 추가일 2026년 3월 30일
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정신건강
공급사 보고Wysa is an example of a conversational program that offers cognitive-behavioral exercises between visits with a person. It is support, not a therapist, and it is not a crisis service. Someone at immediate risk needs local emergency care or a crisis line, not a chatbot. Health systems that offer a tool like this still need a path to a human.
Wysa
임상 의사결정 지원
논문The Targeted Real-time Early Warning System (TREWS) watches the electronic record and asks a clinician to confirm or dismiss a possible sepsis alert. It was studied prospectively across five hospitals, not as a silent background score. The published association depends on a person acting on the alert within a few hours. It does not diagnose sepsis by itself.
TREWS · Bayesian Health
중환자 치료
예시This is an illustrative composite, not a trial report. A unit feeds monitor alarms through a second layer that withholds repeats already explained by motion, a loose lead, or a value the nurse just acknowledged. The bedside alarm for a new life-threatening rhythm still sounds. The point of the scenario is the governance question: who is allowed to silence what, and how a missed true alarm would be reviewed.
Multiparameter monitor · Local rules engine