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Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative

BACKGROUND: The effectiveness of systematic quality improvement initiatives in psychiatric care remains unclear. AIMS: To examine whether quality of care has changed following implementation of a systematic monitoring programme of hospital performance measures. METHOD: In a nationwide population-bas...

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Autores principales: Jørgensen, Mette, Mainz, Jan, Svendsen, Marie Louise, Nordentoft, Merete, Voldsgaard, Inge, Baandrup, Lone, Bartels, Paul, Johnsen, Søren Paaske
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Royal College of Psychiatrists 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998939/
https://www.ncbi.nlm.nih.gov/pubmed/27703722
http://dx.doi.org/10.1192/bjpo.bp.115.000406
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author Jørgensen, Mette
Mainz, Jan
Svendsen, Marie Louise
Nordentoft, Merete
Voldsgaard, Inge
Baandrup, Lone
Bartels, Paul
Johnsen, Søren Paaske
author_facet Jørgensen, Mette
Mainz, Jan
Svendsen, Marie Louise
Nordentoft, Merete
Voldsgaard, Inge
Baandrup, Lone
Bartels, Paul
Johnsen, Søren Paaske
author_sort Jørgensen, Mette
collection PubMed
description BACKGROUND: The effectiveness of systematic quality improvement initiatives in psychiatric care remains unclear. AIMS: To examine whether quality of care has changed following implementation of a systematic monitoring programme of hospital performance measures. METHOD: In a nationwide population-based cohort study, we identified 14 228 patients admitted to psychiatric departments between 2004 and 2011 from The Danish Schizophrenia Registry. The registry systematically monitors the adherence to guideline recommended processes of care. RESULTS: The overall proportion of all relevant recommended processes of care increased from 64 to 76% between 2004 and 2011. The adherence to individual processes of care increased over time, including assessment of psychopathology using a diagnostic interview (relative risk (RR): 2.01, 95% CI: 1.51–2.68), contact with relatives (RR: 1.44, 95% CI: 1.27–1.62), psychoeducation (RR: 1.33, 95% CI: 1.19–1.48), psychiatric aftercare (RR: 1.06, 95% CI: 1.01–1.11) and suicide risk assessment (RR: 1.31, 95% CI: 1.21–1.42). CONCLUSIONS: Quality of care improved from 2004 to 2011 among patients hospitalised with schizophrenia in Denmark. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
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spelling pubmed-49989392016-10-04 Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative Jørgensen, Mette Mainz, Jan Svendsen, Marie Louise Nordentoft, Merete Voldsgaard, Inge Baandrup, Lone Bartels, Paul Johnsen, Søren Paaske BJPsych Open Paper BACKGROUND: The effectiveness of systematic quality improvement initiatives in psychiatric care remains unclear. AIMS: To examine whether quality of care has changed following implementation of a systematic monitoring programme of hospital performance measures. METHOD: In a nationwide population-based cohort study, we identified 14 228 patients admitted to psychiatric departments between 2004 and 2011 from The Danish Schizophrenia Registry. The registry systematically monitors the adherence to guideline recommended processes of care. RESULTS: The overall proportion of all relevant recommended processes of care increased from 64 to 76% between 2004 and 2011. The adherence to individual processes of care increased over time, including assessment of psychopathology using a diagnostic interview (relative risk (RR): 2.01, 95% CI: 1.51–2.68), contact with relatives (RR: 1.44, 95% CI: 1.27–1.62), psychoeducation (RR: 1.33, 95% CI: 1.19–1.48), psychiatric aftercare (RR: 1.06, 95% CI: 1.01–1.11) and suicide risk assessment (RR: 1.31, 95% CI: 1.21–1.42). CONCLUSIONS: Quality of care improved from 2004 to 2011 among patients hospitalised with schizophrenia in Denmark. DECLARATION OF INTEREST: None. COPYRIGHT AND USAGE: © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence. The Royal College of Psychiatrists 2015-07-29 /pmc/articles/PMC4998939/ /pubmed/27703722 http://dx.doi.org/10.1192/bjpo.bp.115.000406 Text en © 2015 The Royal College of Psychiatrists http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Paper
Jørgensen, Mette
Mainz, Jan
Svendsen, Marie Louise
Nordentoft, Merete
Voldsgaard, Inge
Baandrup, Lone
Bartels, Paul
Johnsen, Søren Paaske
Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title_full Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title_fullStr Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title_full_unstemmed Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title_short Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
title_sort improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative
topic Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998939/
https://www.ncbi.nlm.nih.gov/pubmed/27703722
http://dx.doi.org/10.1192/bjpo.bp.115.000406
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