CLiP数据库的实现。

IF 1 Q4 HEALTH POLICY & SERVICES
Kenneth Ken Siong Lee, Umi Adzlin Silim
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引用次数: 0

摘要

目的:本文的目的是审查对马来西亚最大的医院转介到CLiP服务的所有住院患者的咨询-联络精神病学(CLiP)数据库实施情况的审计结果,目的是提高CLiP服务的质量。设计/方法/方法:所有转介到CLiP团队的住院患者记录了三个月的时间,并与2017年的先前审计数据进行了比较。评估了四项审计标准:转诊报告、答复的及时性、说明转诊原因和是否有管理计划。调查结果:在进行干预后,使用CLiP表格报告的合规性为70.1%,而2017年的审计数据为28%。对填妥的转介个案表格的分析显示,89%的转介个案是在同一工作天内完成的。所有转介都包括转介原因。最常见的转诊原因是抑郁症,但评估后,谵妄是最常见的诊断。总的来说,87.8%的人满足完成书面护理计划的审计标准。原创性/价值:专业剪辑服务在马来西亚相对较新,这是第一篇研究该国此类服务质量的论文。干预措施在改善使用CLiP数据库报告的依从性方面是有效的。调查结果表明,CLiP服务与国际审计标准相当。此外,临床审计的数据可以作为在类似情况下制定国家操作政策的基准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of the CLiP database.

Purpose: The purpose of this paper is to review the findings from an audit of the implementation of a consultation-liaison psychiatry (CLiP) database in all inpatients referred to a CLiP service at the largest hospital in Malaysia with the aim of improving the quality CLiP services.

Design/methodology/approach: All inpatient referrals to the CLiP team were recorded over a three-month period and compared to previous audit data from 2017. Four audit standards were assessed: the reporting of referrals, timeliness of response indication of reason for referral and presence of a management plan.

Findings: The compliance of reporting using the CLiP form was 70.1 per cent compared to 28 per cent in the audit data from 2017 after interventions were conducted. Analysis of the completed CLiP form reveals that 89 per cent of referrals were seen within the same working day. All referrals included the reason for referral. The most common reason for referral was for depressive disorders, but post-assessment, delirium was the most common diagnosis. In total, 87.8 per cent satisfied the audit criteria for a completed written care plan.

Originality/value: Specialised CLiP services are relatively new in Malaysia and this is the first paper to examine the quality of such services in the country. Interventions were effective in improving the compliance of reporting using the CLiP database. The findings suggest that the CLiP services are on par with international audit standards. Furthermore, data from this clinical audit can serve as a benchmark for the development of national operating policies in similar settings.

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来源期刊
CiteScore
4.00
自引率
6.70%
发文量
6
期刊介绍: ■Successful quality/continuous improvement projects ■The use of quality tools and models in leadership management development such as the EFQM Excellence Model, Balanced Scorecard, Quality Standards, Managed Care ■Issues relating to process control such as Six Sigma, Leadership, Managing Change and Process Mapping ■Improving patient care through quality related programmes and/or research Articles that use quantitative and qualitative methods are encouraged.
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