Literature DB >> 22038748

Guidelines reduce time to consultation for a liaison psychiatry service in an Irish teaching hospital.

J Lyne1, B O'Donoghue, M Bonnar, D Golden, P Burke, M Hill, A Kinsella, C McInerney, I Callanan, M Ryan.   

Abstract

BACKGROUND: Timeliness of response from referral to consultation is necessary to provide best standards of care to inpatients in the general hospital setting. AIMS: To measure the length of time from referral to consultation in a liaison psychiatry service, and improve service delivery by introducing guidelines for time to consultation.
METHODS: Time to consultation was measured on all patients presenting to a liaison psychiatry consultation service over an initial 6-month period, with subsequent repeat measurement following the introduction of guidelines.
RESULTS: There were significant reductions for time to consultation in the service for the second cycle of the audit (χ(2) = 43.84, P < 0.001), and targets based on international standards were achieved.
CONCLUSIONS: Introduction of guidelines for time to consultation, may improve response times, leading to improved quality of service for inpatient consultation services.

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Year:  2011        PMID: 22038748     DOI: 10.1007/s11845-010-0511-5

Source DB:  PubMed          Journal:  Ir J Med Sci        ISSN: 0021-1265            Impact factor:   1.568


  10 in total

1.  A 12-month follow up of the implementation of clinical indicators in a consultation-liaison service.

Authors:  A C Holmes; F K Judd; R Yeatman; J H Lloyd; J Dakis; F Cairns; M Kiang; L Kerr; J McKinnon
Journal:  Aust N Z J Psychiatry       Date:  2001-04       Impact factor: 5.744

2.  The development of clinical indicators for a consultation-liaison service.

Authors:  A C Holmes; F K Judd; J H Lloyd; J Dakis; E F Crampin; S Katsenos
Journal:  Aust N Z J Psychiatry       Date:  2000-06       Impact factor: 5.744

3.  Guidelines and evaluation: improving the quality of consultation-liaison psychiatry.

Authors:  Marc Archinard; Patricia Dumont; Nicolas de Tonnac
Journal:  Psychosomatics       Date:  2005 Sep-Oct       Impact factor: 2.386

Review 4.  Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback.

Authors:  Gro Jamtvedt; Jane M Young; Doris T Kristoffersen; Mary Ann O'Brien; Andrew D Oxman
Journal:  Qual Saf Health Care       Date:  2006-12

5.  Audit of an inpatient liaison psychiatry consultation service.

Authors:  John Lyne; Michelle Hill; Patricia Burke; Martina Ryan
Journal:  Int J Health Care Qual Assur       Date:  2009

Review 6.  The impact of major depression on chronic medical illness.

Authors:  W Katon
Journal:  Gen Hosp Psychiatry       Date:  1996-07       Impact factor: 3.238

7.  Why guidelines for consultation-liaison psychiatry?

Authors:  A Stoudemire; H Bronheim; T N Wise
Journal:  Psychosomatics       Date:  1998 Jul-Aug       Impact factor: 2.386

8.  Prognosis after hospital discharge of older medical patients with delirium.

Authors:  J Francis; W N Kapoor
Journal:  J Am Geriatr Soc       Date:  1992-06       Impact factor: 5.562

Review 9.  Psychiatric comorbidity and length of stay in the general hospital. A critical review of outcome studies.

Authors:  S M Saravay; M Lavin
Journal:  Psychosomatics       Date:  1994 May-Jun       Impact factor: 2.386

10.  The value of consultation-liaison interventions to the general hospital.

Authors:  R C Hall; B L Frankel
Journal:  Psychiatr Serv       Date:  1996-04       Impact factor: 3.084

  10 in total

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