Characteristics of Patients With Constant Observers
| Autor: | Junji Takeshita, Leah Lawyer, Loraine Fleming, Mark Pilar, Brian R. Schultz, Susan Solimine, Maria Guerrero, June Lee, Michael Tanael, Stacy Kracher, Deborah A. Goebert |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Length of hospitalization Hospitals Private Young Adult 03 medical and health sciences Patient safety Age Distribution 0302 clinical medicine Arts and Humanities (miscellaneous) Chart review Epidemiology Ethnicity medicine Humans 030212 general & internal medicine Sex Distribution Confusion Psychiatry Suicide Risk Referral and Consultation Psychomotor Agitation Applied Psychology Aged Retrospective Studies Insurance Health Marital Status 030504 nursing business.industry Mental Disorders Fall risk Middle Aged medicine.disease Psychiatry and Mental health Caregivers Psychiatric consultation Accidental Falls Female Patient Safety Medical emergency medicine.symptom 0305 other medical science business Self-Injurious Behavior |
| Zdroj: | Psychosomatics. 59:67-74 |
| ISSN: | 0033-3182 |
| DOI: | 10.1016/j.psym.2017.08.003 |
| Popis: | Background The use of constant observers ("sitters") has been common practice in many medical centers to maintain patient safety. Results A retrospective chart review of patients who required sitters from October 1, 2007 to September 31, 2013 at a large, private hospital serving a multiethnic community showed that the top reasons for sitters include suicide risk, agitation, fall risk, interfering with medical devices, and confusion/disorientation. Sitters were used for a mean of 3.4 days ranging from 1 to 287 days, with a mean hospital length of stay of 18.9 days. Although 42.4% of all cases with sitters had a psychiatric consultation, psychiatry was consulted on only 8.5% of those with agitation, 6.3% of those who were disoriented, and 12.7% of those with decisional capacity concerns. Psychiatry was consulted on 87.4% of patients with a constant observer for suicide risks. Sitters were most often discontinued when behaviors improved or when patients were discharged. Conclusion This information will be useful for understanding the optimal way to implement a program that will increase patient safety and decrease cost. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect