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指南与评估:提高会诊联络精神病学的质量

Guidelines and evaluation: improving the quality of consultation-liaison psychiatry.

作者信息

Archinard Marc, Dumont Patricia, de Tonnac Nicolas

机构信息

Unité de Psychiatrie de Liaison, 51 Boulevard de la Cluse, 1205 Geneva, Switzerland.

出版信息

Psychosomatics. 2005 Sep-Oct;46(5):425-30. doi: 10.1176/appi.psy.46.5.425.

DOI:10.1176/appi.psy.46.5.425
PMID:16145187
Abstract

Previous research has shown that residents in the consultation-liaison unit of Geneva University Hospital did not meet proposed guidelines on three counts: quickness of response to emergency situations, reporting cases to supervisors, and consulting with supervisors on major issues. The introduction of daily meetings between residents and supervisors improved the level of compliance with guidelines, from 69.2% to 82.6% for quickness of response, from 57.6% to 97.3% for reporting cases to supervisors, and from 25.0% to 98.0% for consulting with supervisors on major issues. Periodical evaluation would thus appear to enhance performance.

摘要

先前的研究表明,日内瓦大学医院会诊联络科的住院医师在三个方面未达到既定准则:对紧急情况的反应速度、向主管汇报病例以及就重大问题与主管进行咨询。住院医师与主管之间引入每日例会后,准则遵守水平有所提高,反应速度方面从69.2%提高到82.6%,向主管汇报病例方面从57.6%提高到97.3%,就重大问题与主管进行咨询方面从25.0%提高到98.0%。因此,定期评估似乎能提升绩效。

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