Guest Caroline, Crockett Stephen, Little Patrick, Patel Anish
Avon and Wiltshire Mental Health Partnership NHS Trust.
North Bristol NHS Trust,Bristol.
BJPsych Bull. 2018 Aug;42(4):152-156. doi: 10.1192/bjb.2018.29. Epub 2018 Jun 1.
Aims and methodThe clinical utility of the multidimensional Framework for Routine Outcome Measurement in Liaison Psychiatry (FROM-LP) has not previously been examined. We sought to establish whether referral accuracy and ability to achieve the reason(s) for referral to our liaison service improved after incorporating the Identify and Rate the Aim of the Contact (IRAC) scale of this tool into our referral process. We carried out a retrospective analysis of electronic case notes of all appropriate referrals to the team before and after this adaption.
Accuracy of referrals to our team improved from 73.8 to 93.7% following intervention. Referral requests that were fully achieved improved from 57.4 to 77.8%, and referral requests that were not achieved decreased from 26.2 to 6.4%.Clinical implicationsThe IRAC component of the FROM-LP measures what it was developed for, and thus has clinical utility supporting its widespread adoption across liaison services in the National Health Service.Declaration of interestNone.
目的与方法
联络精神病学常规结果测量多维框架（FROM-LP）的临床效用此前尚未得到检验。我们试图确定，在将该工具的“确定并评估接触目标”（IRAC）量表纳入我们的转诊流程后，转诊准确性以及实现转诊至我们联络服务机构的原因的能力是否有所提高。我们对在此调整前后所有转诊至该团队的合适电子病历进行了回顾性分析。
干预后转诊至我们团队的准确性从73.8%提高到了93.7%。完全实现的转诊请求从57.4%提高到了77.8%，未实现的转诊请求从26.2%降至6.4%。
临床意义
FROM-LP的IRAC部分实现了其设计目的，因此具有临床效用，支持其在国民医疗服务体系的联络服务中广泛采用。
利益声明
无。
