Audit in psychiatry: "failed discharges"
نویسنده
چکیده
Medical audit has been defined as the systematic, critical analysis of the quality of medical care, includ ing the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under press ure to extend and improve audit procedures in recent years (McKee el al, 1989),but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989).Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities. In psychiatry, readmission to hospital within a relatively short period of discharge could be viewed as an adverse event requiring reintervention. Despite the fact that the majority of psychiatric admissions in the UK are readmissions, there has been a paucity of interest in "failed discharges" as a topic suitable for
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تاریخ انتشار 2007