Adherence to care and treatment review policy and impact on length of stay

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-24 DOI:10.1108/amhid-07-2023-0023

Lucy Jade Jones, Ceri Woodrow

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引用次数: 0

Abstract

Purpose The purpose of this clinical audit was to review the adherence to the 2017 care and treatment review policy across two NHS assessment and treatment units. Care and treatment reviews should be offered to people with an intellectual disability and/or autism who are at risk of admission into a mental health hospital. Design/methodology/approach Admission and discharge data was collected across two assessment and treatment units between January 2019 and December 2022. Adherence to the care and treatment review policy was also reviewed as was length of inpatient stay. A retrospective evaluation was conducted. Triangulation of data was collected via the trusts’ electronic patient record system and NHS analytics team. Descriptive statistics, Mann–Whitney U test and a one-way ANOVA with post hoc tests were used in the analysis. Findings An increase in behaviours of challenge and deterioration of mental health were the main reasons for admission. Forty-nine percent (30) of those admitted to the assessment and treatment units accessed a care and treatment review. Care and treatment reviews were more frequently provided for individuals experiencing longer inpatient stays. Originality/value There is limited evidence relating to outcomes and impact of care and treatment reviews. Further research is required to explore effectiveness of care and treatment reviews to understand benefits and appropriately prioritise resource.

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遵守护理和治疗审查政策及其对住院时间的影响

本临床审计的目的是审查两个NHS评估和治疗单位对2017年护理和治疗审查政策的遵守情况。应向智力残疾和/或自闭症患者提供护理和治疗审查，这些患者有被送入精神病院的风险。设计/方法/方法在2019年1月至2022年12月期间收集了两个评估和治疗单位的入院和出院数据。对护理和治疗审查政策的依从性以及住院时间的长短也进行了审查。进行回顾性评价。数据的三角测量是通过信托的电子病历系统和NHS分析团队收集的。分析采用描述性统计、Mann-Whitney U检验和单因素方差分析及事后检验。结果挑战行为的增加和心理健康状况的恶化是入院的主要原因。接受评估和治疗单位的人中有49%(30)接受了护理和治疗审查。护理和治疗审查更频繁地提供给经历较长住院时间的个人。原创性/价值与护理和治疗评价的结果和影响相关的证据有限。需要进一步的研究来探索护理和治疗评估的有效性，以了解益处并适当地优先考虑资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.