A Tale of Three Pathways: The Experience of RBWH Mental Health
| Autor: | Cathy Todd, Jacinta Powell, Maree Lacey, Brett Emmerson, Lisa Fawcett, Aaron D. J. Frost |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Standard of care Psychiatric Department Hospital 03 medical and health sciences 0302 clinical medicine Clinical pathway Nursing medicine Humans 030212 general & internal medicine Depression (differential diagnoses) Patient Care Team Clinical governance Depressive Disorder Medical Audit business.industry Mental Disorders Australia Service provider Mental health 030227 psychiatry Women's Health Services Psychiatry and Mental health Psychotic Disorders Internal audit Family medicine Critical Pathways business |
| Zdroj: | Australasian Psychiatry. 12:256-260 |
| ISSN: | 1440-1665 1039-8562 |
| DOI: | 10.1080/j.1039-8562.2004.02109.x |
| Popis: | Objectives: Australian research has identified that there are significant variations between service providers in terms of clinical management of patients with comparable presenting problems. Internal audits within the facility at Royal Brisbane and Women's Hospital revealed that these variations occurred between wards, treating teams and psychiatric consultants. Given the increasing emphasis on evidence-based practice, it was decided that the literature should be reviewed to determine what the standard of care should be. The paper then examines how clinical pathways for psychosis and for depression were developed and how they eventually evolved into an acute inpatient pathway. It identifies the framework used and examines important aspects relating to the adaptation of these frameworks to mental health issues. The process for the development and implementation of the clinical pathway is discussed. Recommendations for their future use in a mental health setting are also presented. Conclusions: Mental Health care is complex. For this reason, mental health clinical pathways have to remain flexible and innovative. With the present project, it was found that the pathways were not suited for specific diagnoses so that they evolved into a single acute inpatient pathway. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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