Increasing and maintaining rates of standardized depression screening in youth with childhood-onset systemic lupus erythematosus in a pediatric rheumatology clinic
Authors' conclusion
A high rate of standardized depression screening for youth with cSLE was achieved and maintained via integration and automation within our EHR.
Study context
- Population
- Patients with cSLE aged 12 years or older seen for routine follow-up at a paediatric rheumatology clinic, September 16, 2019, through December 30, 2022
- Participants
- 592 completed depression screens
- Outcome
- Percentage of eligible patient encounters where standardized depression screening (PHQ-A) was completed
Methodological detailsPlan-Do-Study-Act (PDSA) cycles, statistical process control, single-centre, Interventions: identifying eligible patients, bidirectional staff communication, integrating and automating screening within the electronic health record (EHR)
- PDSA cycles
- Statistical process control
- Single-centre
- Interventions: identifying eligible patients, bidirectional staff communication, integrating and automating screening within the EHR
Main finding
As reported in the abstract
Eligible encounters with depression screening completed
Screening completion increased from 0 to
81%
Further findings
Positive for moderate to severe depressive symptoms
- Positive screens, n (%)
- 114 (17%)
Positive for suicidal ideation
- Positive screens, n (%)
- 59 (9%)
Original publication
Increasing and maintaining rates of standardized depression screening in youth with childhood-onset systemic lupus erythematosus in a pediatric rheumatology clinic. Pediatr Rheumatol Online J. Published 4 January 2025. doi:10.
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