多学科咨询联络小组方法减少观察员的使用

IF 3.4 Q2 Medicine
Stacy L. Kracher P.M.H.C.N.S.-B.C., P.M.H.N.P.-B.C., A.P.R.N.R.X., C.S.A.C. , Andrew Currivan M.S.N., A.C.N.S.-B.C. , Maria Guerrero Ph.D., M.T.-B.C. , Deborah Goebert Dr.P.H. , James R. Agapoff IV, M.S., M.D. , Bradley Kuo D.N.P., F.N.P.-B.C., P.M.H.N.P.-B.C. , Earl Hishinuma Ph.D. , Chelsea Wong Psy.D. , Me Fuimaono-Poe F.N.P.-B.C.
{"title":"多学科咨询联络小组方法减少观察员的使用","authors":"Stacy L. Kracher P.M.H.C.N.S.-B.C., P.M.H.N.P.-B.C., A.P.R.N.R.X., C.S.A.C. ,&nbsp;Andrew Currivan M.S.N., A.C.N.S.-B.C. ,&nbsp;Maria Guerrero Ph.D., M.T.-B.C. ,&nbsp;Deborah Goebert Dr.P.H. ,&nbsp;James R. Agapoff IV, M.S., M.D. ,&nbsp;Bradley Kuo D.N.P., F.N.P.-B.C., P.M.H.N.P.-B.C. ,&nbsp;Earl Hishinuma Ph.D. ,&nbsp;Chelsea Wong Psy.D. ,&nbsp;Me Fuimaono-Poe F.N.P.-B.C.","doi":"10.1016/j.psym.2020.04.014","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>There are few evidence-informed guidelines and findings to show that the use of sitters improves patient safety; overall, it is a costly intervention to address patients with disruptive behaviors. <strong>Objective:</strong> The purpose of this article is to demonstrate that the creation of a multidisciplinary consultation-liaison (C-L) team, integrated with a psychiatric C-L team, together can decrease sitter use and improve outcomes using nonpharmacologic interventions.</p></div><div><h3>Methods</h3><p>This retrospective study describes the planning, implementation, and data collection using in creating an multidisciplinary C-L team to collaborate with the psychiatric C-L team and outcomes to support the approach. The multidisciplinary C-L team was composed of advanced practice registered nurses and creative art therapists. The teams worked closely with the medical units to develop and monitor criteria for sitter use. The key outcomes of the intervention improved patient safety and reduced overall cost.</p></div><div><h3>Results</h3><p>In the first year of implementation of a multidisciplinary C-L approach, sitter use decreased by 72%. Nonpharmacologic interventions improved patient outcomes by providing education to medical staff that enhanced the assessment and implementation of enhanced observer use across all the medical units. Subsequent data also reflect a sustained reduction in cost over the next 2-year period, saving the institution nearly $70K a month.</p></div><div><h3>Conclusion</h3><p>An multidisciplinary C-L and psychiatric C-L team collaborated on the need for psychiatric medications, or nonpharmacologic interventions to address behaviors and decrease the need for an enhanced observer. The teams worked together to make policy revisions and algorithms and provide education, the result of which was significant financial savings and improved patient safety.</p></div>","PeriodicalId":20746,"journal":{"name":"Psychosomatics","volume":null,"pages":null},"PeriodicalIF":3.4000,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.psym.2020.04.014","citationCount":"1","resultStr":"{\"title\":\"A Multidisciplinary Consultation-Liaison Team Approach to Reduce Enhanced Observer Usage\",\"authors\":\"Stacy L. Kracher P.M.H.C.N.S.-B.C., P.M.H.N.P.-B.C., A.P.R.N.R.X., C.S.A.C. ,&nbsp;Andrew Currivan M.S.N., A.C.N.S.-B.C. ,&nbsp;Maria Guerrero Ph.D., M.T.-B.C. ,&nbsp;Deborah Goebert Dr.P.H. ,&nbsp;James R. Agapoff IV, M.S., M.D. ,&nbsp;Bradley Kuo D.N.P., F.N.P.-B.C., P.M.H.N.P.-B.C. ,&nbsp;Earl Hishinuma Ph.D. ,&nbsp;Chelsea Wong Psy.D. ,&nbsp;Me Fuimaono-Poe F.N.P.-B.C.\",\"doi\":\"10.1016/j.psym.2020.04.014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>There are few evidence-informed guidelines and findings to show that the use of sitters improves patient safety; overall, it is a costly intervention to address patients with disruptive behaviors. <strong>Objective:</strong> The purpose of this article is to demonstrate that the creation of a multidisciplinary consultation-liaison (C-L) team, integrated with a psychiatric C-L team, together can decrease sitter use and improve outcomes using nonpharmacologic interventions.</p></div><div><h3>Methods</h3><p>This retrospective study describes the planning, implementation, and data collection using in creating an multidisciplinary C-L team to collaborate with the psychiatric C-L team and outcomes to support the approach. The multidisciplinary C-L team was composed of advanced practice registered nurses and creative art therapists. The teams worked closely with the medical units to develop and monitor criteria for sitter use. The key outcomes of the intervention improved patient safety and reduced overall cost.</p></div><div><h3>Results</h3><p>In the first year of implementation of a multidisciplinary C-L approach, sitter use decreased by 72%. Nonpharmacologic interventions improved patient outcomes by providing education to medical staff that enhanced the assessment and implementation of enhanced observer use across all the medical units. Subsequent data also reflect a sustained reduction in cost over the next 2-year period, saving the institution nearly $70K a month.</p></div><div><h3>Conclusion</h3><p>An multidisciplinary C-L and psychiatric C-L team collaborated on the need for psychiatric medications, or nonpharmacologic interventions to address behaviors and decrease the need for an enhanced observer. The teams worked together to make policy revisions and algorithms and provide education, the result of which was significant financial savings and improved patient safety.</p></div>\",\"PeriodicalId\":20746,\"journal\":{\"name\":\"Psychosomatics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.4000,\"publicationDate\":\"2020-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.psym.2020.04.014\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychosomatics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0033318220301274\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychosomatics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0033318220301274","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 1

摘要

很少有循证指南和调查结果表明,使用保姆可以提高患者的安全性;总的来说,这是一个昂贵的干预措施,以解决患者的破坏性行为。目的:本文的目的是证明建立一个多学科咨询联络(C-L)团队,与精神科C-L团队相结合,可以减少保姆的使用,并改善使用非药物干预的结果。方法:本回顾性研究描述了建立多学科C-L团队与精神科C-L团队合作的计划、实施和数据收集,以及支持该方法的结果。多学科C-L团队由高级执业注册护士和创意艺术治疗师组成。这些小组与医疗单位密切合作,制定和监测保姆使用标准。干预的主要结果是提高了患者的安全性并降低了总体成本。结果在实施多学科C-L方法的第一年,保姆使用率下降了72%。非药物干预措施通过向医务人员提供教育,提高了所有医疗单位对增强观察员使用的评估和实施,从而改善了患者的预后。随后的数据也反映出,在接下来的两年里,成本持续下降,每月为该机构节省近7万美元。结论一个多学科的C-L和精神病学的C-L团队合作,需要精神病学药物或非药物干预来解决行为问题,减少对强化观察者的需求。这些团队共同努力,修订政策和算法,并提供教育,其结果是节省了大量资金,改善了患者安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Multidisciplinary Consultation-Liaison Team Approach to Reduce Enhanced Observer Usage

Background

There are few evidence-informed guidelines and findings to show that the use of sitters improves patient safety; overall, it is a costly intervention to address patients with disruptive behaviors. Objective: The purpose of this article is to demonstrate that the creation of a multidisciplinary consultation-liaison (C-L) team, integrated with a psychiatric C-L team, together can decrease sitter use and improve outcomes using nonpharmacologic interventions.

Methods

This retrospective study describes the planning, implementation, and data collection using in creating an multidisciplinary C-L team to collaborate with the psychiatric C-L team and outcomes to support the approach. The multidisciplinary C-L team was composed of advanced practice registered nurses and creative art therapists. The teams worked closely with the medical units to develop and monitor criteria for sitter use. The key outcomes of the intervention improved patient safety and reduced overall cost.

Results

In the first year of implementation of a multidisciplinary C-L approach, sitter use decreased by 72%. Nonpharmacologic interventions improved patient outcomes by providing education to medical staff that enhanced the assessment and implementation of enhanced observer use across all the medical units. Subsequent data also reflect a sustained reduction in cost over the next 2-year period, saving the institution nearly $70K a month.

Conclusion

An multidisciplinary C-L and psychiatric C-L team collaborated on the need for psychiatric medications, or nonpharmacologic interventions to address behaviors and decrease the need for an enhanced observer. The teams worked together to make policy revisions and algorithms and provide education, the result of which was significant financial savings and improved patient safety.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Psychosomatics
Psychosomatics 医学-精神病学
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The mission of Psychosomatics is to be the leading psychiatry journal focused on the care of patients with comorbid medical and psychiatric illnesses. The scope of Psychosomatics includes original research, review articles and clinical reports that address psychiatric aspects of medical illnesses and their management. Areas of particular interest include: the effect of co-morbid psychiatric conditions on the management of medical illness; the psychiatric management of patients with comorbid medical illness; educational content for physicians and others specializing in consultation-liaison (C-L) psychiatry; and, the provision of psychiatric services to medical populations, including integrated care.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信