Department of Psychiatry and Behavioral Health, Stony Brook University, Stony Brook, New York.
J Nerv Ment Dis. 2023 Jul 1;211(7):550-553. doi: 10.1097/NMD.0000000000001664.
Prolonged length of stay in emergency departments (EDs) for patients with a psychiatric chief complaint is a widespread problem. Prolonged stays can lead to adverse outcomes and poor quality of care. We sought to improve quality of care for patients in the medical ED who needed psychiatric care. To identify the areas of weakness, we queried the ED staff via an online survey about the perception of the challenges working with our Comprehensive Psychiatric Emergency Program (CPEP), which is located adjacent to and works closely with the medical ED providing psychiatric consultation. We identified several action steps and used the Plan-Do-Study-Act methodology for implementation. We reported a reduction in time to complete consultations and improved communication between CPEP and the medical ED staff.
精神主诉患者在急诊科（ED）的住院时间延长是一个普遍存在的问题。住院时间延长会导致不良后果和护理质量下降。我们试图改善需要精神科护理的内科 ED 患者的护理质量。为了找出薄弱环节，我们通过在线调查询问 ED 工作人员对与我们的综合精神科急诊计划（CPEP）合作的看法，该计划位于内科 ED 附近，并与内科 ED 密切合作，提供精神科咨询。我们确定了几个行动步骤，并使用计划-执行-研究-行动方法来实施。我们报告说，咨询完成时间缩短，CPEP 和内科 ED 工作人员之间的沟通得到改善。
