减少美国首发精神病服务的转诊到入院的延迟：一项质量改进计划。
Reducing Delay From Referral to Admission at a U.S. First-Episode Psychosis Service: A Quality Improvement Initiative.
机构信息
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut (Ferrara, Gallagher, Yoviene Sykes, Markovich, Pollard, Imetovski, Cahill, Guloksuz, Srihari); Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy (Ferrara); Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, Connecticut (Li); Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University Medical Center, Maastricht, the Netherlands (Guloksuz).
出版信息
Psychiatr Serv. 2022 Dec 1;73(12):1416-1419. doi: 10.1176/appi.ps.202100374. Epub 2022 Jun 2.
Duration of untreated psychosis (DUP), the period between psychosis onset and entry into care, is a time of great vulnerability. Longer DUP predicts poorer outcomes, and delayed treatment access can limit the effectiveness of coordinated specialty care (CSC) services. This column details one component of a broader early detection campaign, a quality improvement intervention focusing on reducing the delay between confirmation of eligibility and admission to care within a benchmark period of 7 days. Median delay significantly fell (from 13.5 to 3 days), and the proportion of admissions that met the benchmark increased (from 33% to 71%) over 4 years. This intervention provides a sustainable model to reduce wait times at CSC services.
未治疗精神病期（DUP），即精神病发作到进入治疗的时间段，是一个非常脆弱的时期。较长的 DUP 预示着更差的结果，而延迟治疗的机会可能会限制协调专业护理（CSC）服务的效果。本专栏详细介绍了更广泛的早期检测活动的一个组成部分，这是一项质量改进干预措施，重点是在基准期 7 天内减少从确认资格到入院护理的延迟。中位数延迟显著下降（从 13.5 天降至 3 天），并且在 4 年内符合基准的入院比例增加（从 33%增加到 71%）。这种干预措施为减少 CSC 服务的等待时间提供了一种可持续的模式。
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