TY - JOUR
T1 - Measuring process indicators and adverse events to assess the quality of care for inpatients with psychosis
AU - Vermeulen, Jentien M.
AU - van Rooijen, Geeske
AU - van Tricht, Mirjam J.
AU - van Dijk, Monique
AU - de Haan, Lieuwe
PY - 2021
Y1 - 2021
N2 - Background: Research into the quality of care in psychiatry is scarce. Data collection is falling behind that for other fields of medicine and therefore the opportunity to improve care is missed. Aims: In this medical record study we aim to determine: (i) whether or not patients’ physical health indicators are assessed and pharmacological and behavioural treatment interventions applied; (ii) the incidence and nature of adverse events in psychotic inpatients. Methods: Medical records of inpatients with psychosis admitted to psychiatric wards at Amsterdam UMC, location AMC, Department of psychiatry, were screened with a previously developed and tested two-step patient safety tool. Results: Data of 299 admissions were included. Physical health indicators were not assessed in one-third of cases. Fifty-five percent of the patients were smokers but only 1% received an intervention. The family was actively involved in 43% of the cases. During 11,403 admission days, 235 adverse events had been recorded. The most frequent adverse event was adverse drug reactions (40%), which were mostly related to antipsychotic medication. Conclusions: In conclusion, quality of care auditing is useful to prioritize areas that need improvement. Future research should focus on interventions to improve the quality of psychiatric care.
AB - Background: Research into the quality of care in psychiatry is scarce. Data collection is falling behind that for other fields of medicine and therefore the opportunity to improve care is missed. Aims: In this medical record study we aim to determine: (i) whether or not patients’ physical health indicators are assessed and pharmacological and behavioural treatment interventions applied; (ii) the incidence and nature of adverse events in psychotic inpatients. Methods: Medical records of inpatients with psychosis admitted to psychiatric wards at Amsterdam UMC, location AMC, Department of psychiatry, were screened with a previously developed and tested two-step patient safety tool. Results: Data of 299 admissions were included. Physical health indicators were not assessed in one-third of cases. Fifty-five percent of the patients were smokers but only 1% received an intervention. The family was actively involved in 43% of the cases. During 11,403 admission days, 235 adverse events had been recorded. The most frequent adverse event was adverse drug reactions (40%), which were mostly related to antipsychotic medication. Conclusions: In conclusion, quality of care auditing is useful to prioritize areas that need improvement. Future research should focus on interventions to improve the quality of psychiatric care.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85074817267&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/31694452
U2 - https://doi.org/10.1080/09638237.2019.1677866
DO - https://doi.org/10.1080/09638237.2019.1677866
M3 - Article
C2 - 31694452
SN - 0963-8237
VL - 30
SP - 1
EP - 7
JO - Journal of Mental Health
JF - Journal of Mental Health
IS - 5
ER -