Document Detail


Medical clearance in the psychiatric emergency setting: a call for more standardization.
MedLine Citation:
PMID:  20357550     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Literature suggests little standardization in the practice of medical clearance of patients who present to emergency rooms in psychiatric crisis. The present quality improvement study examined current practice in a large psychiatric teaching hospital setting. Using chart review, the completeness of physical examination was examined for 10 body areas in a random sample of 20 psychiatric patients admitted via a psychiatric emergency department (ED) during a one-month period. Charts were examined for four professional groups - family physicians or nurse practitioners, psychiatry residents, medical students and general ED physicians. Results indicated a wide variation in documentation across the four groups and some body systems that were consistently never assessed. To improve standardization, a physical examination form is proposed that is user friendly and based on a review of current literature.
Authors:
Tanya Pinto; Brittany Poynter; Janet Durbin
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Healthcare quarterly (Toronto, Ont.)     Volume:  13     ISSN:  1710-2774     ISO Abbreviation:  Healthc Q     Publication Date:  2010  
Date Detail:
Created Date:  2010-04-01     Completed Date:  2010-06-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101208192     Medline TA:  Healthc Q     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  77-82     Citation Subset:  H    
Affiliation:
Department of Psychiatry, University of Toronto, Toronto, Ontario.
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MeSH Terms
Descriptor/Qualifier:
Canada
Emergency Services, Psychiatric*
Hospitals, Psychiatric
Humans
Medical Audit
Physical Examination / standards*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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