Audit of an inpatient liaison psychiatry consultation service.

Hdl Handle:
http://hdl.handle.net/10147/207527
Title:
Audit of an inpatient liaison psychiatry consultation service.
Authors:
Lyne, John; Hill, Michelle; Burke, Patricia; Ryan, Martina
Affiliation:
St Vincent's University Hospital, Dublin, Ireland. johnlyne@mail.com
Citation:
Int J Health Care Qual Assur. 2009;22(3):278-88.
Journal:
International journal of health care quality assurance
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207527
PubMed ID:
19537188
Abstract:
PURPOSE: The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. DESIGN/METHODOLOGY/APPROACH: All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. FINDINGS: A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. PRACTICAL IMPLICATIONS: Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. ORIGINALITY/VALUE: This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.
Language:
eng
MeSH:
Adult; Aged; Aged, 80 and over; Demography; Female; Health Services Research; Hospital Administration; Hospital Bed Capacity, 500 and over; Hospitals, University/organization & administration; Humans; Inpatients/*psychology; Male; *Medical Audit; Mental Disorders/diagnosis/therapy; Middle Aged; Patient Care Team/organization & administration; Psychiatry/*organization & administration; Quality Assurance, Health Care/*organization & administration; Referral and Consultation/*organization & administration; Retrospective Studies; Time Factors
ISSN:
0952-6862 (Print); 0952-6862 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorLyne, Johnen_GB
dc.contributor.authorHill, Michelleen_GB
dc.contributor.authorBurke, Patriciaen_GB
dc.contributor.authorRyan, Martinaen_GB
dc.date.accessioned2012-02-01T10:30:20Z-
dc.date.available2012-02-01T10:30:20Z-
dc.date.issued2012-02-01T10:30:20Z-
dc.identifier.citationInt J Health Care Qual Assur. 2009;22(3):278-88.en_GB
dc.identifier.issn0952-6862 (Print)en_GB
dc.identifier.issn0952-6862 (Linking)en_GB
dc.identifier.pmid19537188en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207527-
dc.description.abstractPURPOSE: The purpose of this paper is to examine an audit that was performed of all patients referred to a liaison psychiatry inpatient consultation service which sought to establish a baseline for demographics, type of referral, and management of referrals, with a view to introducing improved evidence-based treatments. It also aims to examine timeliness of response to referrals benchmarked against published standards. DESIGN/METHODOLOGY/APPROACH: All inpatient referrals to a liaison psychiatry service were recorded over a six-month period, including demographics, diagnosis, management and timeliness of response to referrals. The data were retrospectively analysed and compared against international standards. FINDINGS: A total of 172 referrals were received in the six months. Commonest referral reasons included assessments regarding depressive disorders (23.8 per cent), delirium/other cognitive disorders (19.2 per cent), alcohol-related disorders (18.6 per cent), anxiety disorders (14.5 per cent), and risk management (12.2 per cent). Evidence-based practices were not utilised effectively for a number of different types of presentations. A total of 40.1 per cent of referrals were seen on the same day, 75.4 per cent by the end of the next day, and 93.4 per cent by the end of the following day. PRACTICAL IMPLICATIONS: Use of a hospital protocol for management of delirium may improve outcomes for these patients. Evidence-based techniques, such as brief intervention therapies, may be beneficial for referrals involving alcohol dependence. Referrals were seen reasonably quickly, but there is room for improvement when compared with published standards. ORIGINALITY/VALUE: This paper provides valuable information for those involved in management of liaison psychiatry consultation services, providing ideas for development and implementation of evidence based practices.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshDemographyen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHealth Services Researchen_GB
dc.subject.meshHospital Administrationen_GB
dc.subject.meshHospital Bed Capacity, 500 and overen_GB
dc.subject.meshHospitals, University/organization & administrationen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInpatients/*psychologyen_GB
dc.subject.meshMaleen_GB
dc.subject.mesh*Medical Auditen_GB
dc.subject.meshMental Disorders/diagnosis/therapyen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPatient Care Team/organization & administrationen_GB
dc.subject.meshPsychiatry/*organization & administrationen_GB
dc.subject.meshQuality Assurance, Health Care/*organization & administrationen_GB
dc.subject.meshReferral and Consultation/*organization & administrationen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshTime Factorsen_GB
dc.titleAudit of an inpatient liaison psychiatry consultation service.en_GB
dc.contributor.departmentSt Vincent's University Hospital, Dublin, Ireland. johnlyne@mail.comen_GB
dc.identifier.journalInternational journal of health care quality assuranceen_GB
dc.description.provinceLeinster-

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