Ce texte est en anglais tant qu une traduction n est pas publiée.
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 · 1 févr. 2023 · Année 2023
Ajouté à l index 30 mars 2026
Ouvrir la sourceFiche pour l éducation et la veille. Pas un avis médical ni un soutien.
Santé mentale
Rapport fournisseurWysa 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
Aide à la décision clinique
PubliéThe 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
Réanimation
IllustratifThis 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