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Audit of Documentation of Forensic History on Admission Form in a Psychiatric Intensive Care Unit
1Department of Psychiatric Intensive Care Unit, Phoenix Care Centre, (HSE), Dublin-7, Ireland.
Objective:
To study the documentation of relevant components of forensic history on admission form for male patients admitted in psychiatric intensive care unit (PICU)/OAK ward of Phoenix Care Center.
Study Design:
Clinical audit.
Place And Duration Of Study:
Psychiatric intensive care unit/OAK ward of Phoenix Care Center, from August 2019 to July 2020.
Methodology:
Charts of all patients admitted in PICU from August 2019 to July 2020 were analysed, and admission forms were reviewed for documentation of relevant parameters of forensic history. A structured tool was made after literature search, which included drug and alcohol history, history of assaults, protection/barring orders, number of previous PICU admissions, previous charges, pending charges, use of depot medications and previous encounters with police without pending charges.
Results:
A total of 50 patients were admitted during the given time period. Drug and alcohol history was documented in 98% of the cases, previous charges were documented in 88% of the cases, protection/baring order was documented in 62% of the cases, while previous encounter with the police without being charged was documented in only 32% of the cases.
Conclusion:
Drugs and alcohol and previous charges were documented in most of the cases, but documentation of protection/baring order and encounter with the police without being charged was a neglected area, which should be worked upon in future. Key Words: Admission form, Forensic history, Medical audit.
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