Harden Scott, Stathis Stephen, Wagner Ingrid
Bardon Specialist Group, Bardon, Qld, Australia.
Australas Psychiatry. 2005 Jun;13(2):169-72. doi: 10.1080/j.1440-1665.2005.02182.x.
This paper aims to describe the way a multidisciplinary team set out to redevelop a consultation-liaison (C-L) service at a tertiary paediatric hospital.
The activities and processes in which the team members engaged were documented within a continuous quality improvement cycle. These activities included literature review, analysis of referral patterns, consultation with extant services, survey of referral sources and consultation with other tertiary paediatric services.
The outcomes of these initiatives were integrated into a re-formulated multidisciplinary team model dedicated to providing C-L services to the paediatric hospital. Significant challenges identified in the initial process were ongoing issues with caseload management and clarification of boundary demarcations.
There has been a gradual acceptance of the new C-L service by medical staff. The structure has resulted in a focused and coordinated C-L team that has contributed to innovations in the C-L process within the hospital.
本文旨在描述一个多学科团队在一家三级儿科医院重新开展会诊-联络（C-L）服务的方式。
团队成员参与的活动和流程记录在持续质量改进周期内。这些活动包括文献综述、转诊模式分析、与现有服务机构协商、转诊来源调查以及与其他三级儿科服务机构协商。
这些举措的成果被整合到一个重新制定的多学科团队模式中，该模式致力于为儿科医院提供C-L服务。在初始过程中发现的重大挑战是病例管理方面的持续问题以及边界划分的明确。
医务人员对新的C-L服务的接受程度逐渐提高。这种结构形成了一个专注且协调的C-L团队，为医院内C-L流程的创新做出了贡献。
