Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Gen Hosp Psychiatry. 2020 May-Jun;64:46-49. doi: 10.1016/j.genhosppsych.2020.02.002. Epub 2020 Feb 13.
This editorial describes an effort by 9 consultation-liaison (C-L) psychiatry service leaders in the United States to incorporate routine performance measurement into their service workflows. Although C-L psychiatry is an essential clinical service in general hospitals, performance metrics for this service have not been broadly accepted or implemented. Meanwhile, the performance metrics that have been developed rely on an investment in resources and/or new workflows that C-L psychiatry services may not be prepared to make on a widespread level. Our group sought to determine the feasibility of incorporating routine performance measurement into the workflows of a diverse sample of C-L psychiatry services using only existing resources via three collection methods: timestamp review, chart auditing, and survey administration. No methods were broadly successful across the 9 services. We argue that for routine performance measurement to gain wider traction in the field of C-L psychiatry, the ready availability-or automatability-of performance data must be taken into account.
这篇社论描述了美国的 9 位联络精神病学服务领导者努力将常规绩效衡量纳入其服务工作流程。尽管联络精神病学是综合医院中一项基本的临床服务，但该服务的绩效指标尚未得到广泛认可或实施。与此同时，已经开发的绩效指标依赖于资源的投入和/或联络精神病学服务可能无法在广泛层面上做出的新工作流程。我们的小组试图通过三种收集方法（时间戳审查、图表审核和调查管理），仅使用现有资源来确定将常规绩效衡量纳入不同联络精神病学服务工作流程的可行性：时间戳审查、图表审核和调查管理。这 9 种方法在 9 个服务中都没有广泛成功。我们认为，为了使常规绩效衡量在联络精神病学领域得到更广泛的应用，必须考虑到绩效数据的可用性或自动化程度。
