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[Basic documentation in child and adolescent psychiatry: first evaluations and experiences]
Michele Noterdaeme1, Dieter Schlamp, Martin Linder
1Heckscher-Klinik, Abteilung Solln, Wolfratshauser Strasse 350, 81479 München. michele.noterdaeme@lrz.uni-muenchen.de
Psychiatrische Praxis
|September 26, 2003
Summary
A modified documentation system for child and adolescent psychiatric associations was implemented across three clinics. Comparative analysis showed good agreement in patient demographics and diagnoses, establishing a quality measure.
Area of Science:
- Child and Adolescent Psychiatry
- Healthcare Quality Improvement
- Clinical Documentation
Background:
- Standardized documentation is crucial for reliable clinical data in child and adolescent psychiatry.
- Variability in data collection can impact the comparability of patient information across different healthcare settings.
Purpose of the Study:
- To assess the agreement of patient data between three clinics using a modified documentation system.
- To establish a framework for regular comparative data analysis as a quality improvement measure.
Main Methods:
- A modified documentation system from the Child and Adolescent Psychiatric Associations was implemented in three clinics.
- Data from approximately 5300 patients were analyzed and compared across the participating clinics.
Main Results:
- A fair agreement was observed in the age structure of patients across the three clinics.
- The distribution of diagnoses showed a reasonable level of concordance between the clinics.
Conclusions:
- The modified documentation system facilitates comparable data collection in child and adolescent psychiatric settings.
- Regular comparative analysis of clinical data serves as an effective quality assurance tool and informs daily practice.