assessment unit A new model for quality improvement in acute inpatient psychiatry: observational data from an acute


Journal article


J. Hayes, R. Gibbons, Faizal Outim, Sylvia Y. F. Tang, A. Chakraborty
2013

Semantic Scholar
Cite

Cite

APA   Click to copy
Hayes, J., Gibbons, R., Outim, F., Tang, S. Y. F., & Chakraborty, A. (2013). assessment unit A new model for quality improvement in acute inpatient psychiatry: observational data from an acute.


Chicago/Turabian   Click to copy
Hayes, J., R. Gibbons, Faizal Outim, Sylvia Y. F. Tang, and A. Chakraborty. “Assessment Unit A New Model for Quality Improvement in Acute Inpatient Psychiatry: Observational Data from an Acute” (2013).


MLA   Click to copy
Hayes, J., et al. Assessment Unit A New Model for Quality Improvement in Acute Inpatient Psychiatry: Observational Data from an Acute. 2013.


BibTeX   Click to copy

@article{j2013a,
  title = {assessment unit A new model for quality improvement in acute inpatient psychiatry: observational data from an acute},
  year = {2013},
  author = {Hayes, J. and Gibbons, R. and Outim, Faizal and Tang, Sylvia Y. F. and Chakraborty, A.}
}

Abstract

SUMMARYObjectives There is little research into the constituents of effectivepsychiatric inpatient care. The aim of this study was to assess theeffectiveness of a newly adopted model of inpatient care; the acuteassessment ward.Design Review of data collected over a year-long period.Setting Acute assessment ward in North London.Participants All Admissions between 8 October 2009 and 7 October2010.Main outcome measures Duration of stay, need for readmission,patient satisfaction and frequency of conflict behaviours.Results A total of 485 admissions over the yearlong study period. Themedian stay to discharge from the assessment ward was 6 days, whereasin those transferred it was 19 days. Readmission within 28 days followingdischarge from the assessment ward was 13.9%, whereas thosedischarged from other wards was 9.2% (P=0.1). Patient satisfaction wasno lower, for all domains, than for other wards in the trust. Frequency ofconflict behaviour was equal to previous studies, 1 but self harm wassignificantly less common (P=0.01).Conclusions Our data show that focusing on the ‘point of entry’ toinpatient services means that some admission times can be reducedwithout an increase in 28-day readmission rates or conflict behaviours.The acute assessment model attempts to address the need for the NHS todeliver more for less, whilst remaining focused on service-user and staffsatisfaction. Research into which areas of this complex intervention areeffective is challenging, but we would urge others who run services withnovel structures to publish data about their functioning.


Share



Follow this website


You need to create an Owlstown account to follow this website.


Sign up

Already an Owlstown member?

Log in