[Management of violent behaviour and rapid tranquillisation during acute psychotic episode: discrepancy between routine practice and evidence. The SIEP-DIRECT'S Project]
| Autor: | Lora, A., Morganti, C., Erlicher, A., Burti, L., Buscaglia, G., Pegoraro, M., Davide, J., Cristofalo, D., Ruggeri, M., Domenico, S., Gruppo SIEP-DIRECT'S (Fabrizio Asioli, Andrea, Balbi, Giacinto, Buscaglia, Giuseppe, Carrà, Massimo, Casacchia, Giuseppe, Corlito, Walter Di Munzio, Arcadio, Erlicher, Lasalvia, Antonio, Antonio, Lora, Alessandra, Marinoni, Maurizio, Miceli, Carla, Morganti, Pierluigi, Morosini, Mirella, Ruggeri, Domenico, Semisa. ). |
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| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Time Factors Epidemiology Nice Poison control Practice Guidelines as Topic/*standards Violence Suicide prevention Occupational safety and health Community Mental Health Services/*standards Schizophrenia/*drug therapy Acute Disease Italy Psychotic Disorders/drug therapy Societies Medical Tranquilizing Agents/*therapeutic use Injury prevention medicine Humans Psychiatry Societies Medical computer.programming_language business.industry Public Health Environmental and Occupational Health Human factors and ergonomics Guideline Mental health Community Mental Health Services Psychiatry and Mental health Tranquilizing Agents Psychotic Disorders Practice Guidelines as Topic Schizophrenia business computer |
| Zdroj: | Epidemiologia e psichiatria sociale. 17(4) |
| ISSN: | 1121-189X |
| Popis: | SUMMARYAims– To evaluate the quality of acute psychiatric care concerning the management of violent behaviour and rapid tran-quilization.Methods– Data concerning 13 indicators, drawn from NICE recommendations, were collected in 19 Departments of Mental Health, in the frame of the SIEP-DIRECT's Project, to evaluate the implementation of NICE recommendations in Italian Mental Health Services.Results– In about two thirds of Departments of Mental Health (DMHs) professionals were trained in the management of violent behaviour, while written procedures existed only in one fourth of DMHs. About a half of the professionals working in Psychiatric Wards in General Hospital were trained in rapid tranquilization, while procedures on this topic are practically absent and specific care for monitoring intensively the heavily sedated patient was not frequent.Conclusions– Management of violent behaviour and rapid tranquilization are two critical areas in the care performed by Psychiatric Wards in General Hospital. Training on these topics is more frequent than implementation of procedures. NICE recommendations and SIEP indicators are useful tools for improving the quality of acute psychiatric care.Declaration of Interest: None. |
| Databáze: | OpenAIRE |
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