625 Patient Centered Depression and Anxiety Screening in an Adult Burn Clinic

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IntroductionDepression and anxiety are seen in burn patients at rates up to 45%. Untreated, they can lead to long-term complications of posttraumatic stress disorder. Treating the psychological consequences of burn injury leads to increased quality of life for patients.MethodsRapid-cycle quality improvement using four plan-do-study-act cycles was used to evaluate interventions. Reviewing the data helped guide new tests of change each cycle. Data were analyzed using run charts to assess each intervention's impact.ResultsA medical screening rate of 100% was achieved. Thirty three percent of patients screened were positive for depression and/or anxiety. Of the patients who screened positive, 100% chose an intervention on the Shared Decision Making Tool.ConclusionsUniversal screening increases recognition of anxiety and depression in a vulnerable population of burn patients. Using a Shared Decision Making tool increases patients centerdness and selecting an intervention for treatment.