Improving Quality of Emergency Care Through Integration of Mental Health
| Autor: | Emile Risby, William Custer, David Satcher, Gail Mattox, Victor Ede, Nana O. Wilson, Glenda Wrenn, Martha Okafor, Hany Atallah, Michael Claeys, Frank E. Shelp |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Health (social science) Quality management Georgia Cost-Benefit Analysis Poison control 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Quality Indicators Health Care Emergency Services Psychiatric business.industry Public Health Environmental and Occupational Health 030208 emergency & critical care medicine Emergency department Length of Stay medicine.disease Mental health Triage Quality Improvement Integrated care Psychiatry and Mental health Public hospital Emergency medicine Medical emergency Fast track business |
| Zdroj: | Community mental health journal. 52(3) |
| ISSN: | 1573-2789 |
| Popis: | The goal of this study was to better integrate emergency medical and psychiatric care at a large urban public hospital, identify impact on quality improvement metrics, and reduce healthcare cost. A psychiatric fast track service was implemented as a quality improvement initiative. Data on disposition from the emergency department from January 2011 to May 2012 for patients impacted by the pilot were analyzed. 4329 patients from January 2011 to August 2011 (pre-intervention) were compared with 4867 patients from September 2011 to May 2012 (intervention). There was a trend of decline on overall quality metrics of time to triage and time from disposition to discharge. The trend analysis of the psychiatric length of stay and use of restraints showed significant reductions. Integrated emergency care models are evidence-based approach to ensuring that patients with mental health needs receive proper and efficient treatment. Results suggest that this may also improve overall emergency department's throughput. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink