Is organizational change associated with increased rates of readmission to general hospital in suicide attempters? A 10-year prospective catchment area study
| Autor: | Lars Mehlum, Latha Nrugham, Trond Jørgensen, Lien My Diep |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Suicide Attempted Hospitals General Suicide prevention Patient Readmission Occupational safety and health Young Adult Catchment Area Health Injury prevention medicine Humans Prospective Studies General hospital skin and connective tissue diseases Aged Suicide attempt business.industry Norway Human factors and ergonomics Middle Aged Organizational Innovation Psychiatry and Mental health Clinical Psychology Emergency medicine Female sense organs Catchment area business |
| Zdroj: | Archives of suicide research : official journal of the International Academy for Suicide Research. 14(2) |
| ISSN: | 1543-6136 |
| Popis: | The objective of this study was to examine predictors for readmissions in patients admitted to a general hospital emergency ward for suicide attempts before and after organizational changes potentially affecting the chain of care. Socio-demographic and clinical variables were collected by clinicians from 1997 thru 2007. Data from the periods before and after 2004--when the hospital changed its catchment area--were compared. A substantial increase in readmission rates in the period after the organizational change was observed. This increase was not associated with any of the socio-demographic or clinical patient characteristics. Although no causal connection can be inferred, the observed association between organizational change and readmission rates could indicate that established post-discharge care systems for suicide attempters may be vulnerable to such change. |
| Databáze: | OpenAIRE |
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