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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
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Consensus in Psychiatric Emergencies Using the Delphi Technique.

Hyerin Lee1, Jin-Won Noh2, Joonho Choi1,3

  • 1Department of Psychiatry, Hanyang University Guri Hospital, Guri, Republic of Korea.

Psychiatry Investigation
|November 29, 2024
PubMed
Summary
This summary is machine-generated.

Designing seclusion rooms for psychiatric emergencies requires expert consensus on spatial needs. Key priorities include accessibility, ample space for medical procedures, and wider passages for patient transport.

Keywords:
Delphi techniquePortable seclusion modulePsychiatric emergency situation

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Area of Science:

  • Psychiatric emergency care design
  • Healthcare facility spatial planning
  • Infectious disease patient management

Background:

  • Psychiatric emergency patients often require complex medical and surgical interventions.
  • Managing these patients in infectious disease situations presents unique spatial challenges.
  • Existing seclusion room designs may not adequately address these multifaceted needs.

Purpose of the Study:

  • To achieve expert consensus on essential seclusion room components for psychiatric emergency patients.
  • To define spatial requirements for managing patients needing medical/surgical care during infectious disease outbreaks.
  • To inform the design of specialized seclusion room modules.

Main Methods:

  • A two-round Delphi survey methodology was employed.
  • Expert participants included medical professionals, architects, and spatial design specialists (n=38).
  • The survey focused on spatial scales, organization, and movement systems within seclusion rooms.

Main Results:

  • Prioritized spatial scales: compliance with disability standards (wheelchair accessibility) and provision of larger spaces for patients with high mobility or requiring special procedures.
  • Prioritized movement systems: wider passages to accommodate stretcher cart transport from multiple sides.
  • Prioritized spatial organization: inclusion of interior elements (e.g., wall images) to aid patient stability, with no necessity for a separate patient activity area.

Conclusions:

  • Expert consensus was reached on critical spatial scales, organization, and movement system elements for seclusion rooms.
  • The findings provide a foundation for designing effective seclusion room modules for psychiatric emergency patients in infectious disease settings.
  • This consensus addresses the dual needs of psychiatric care and medical/surgical interventions in a controlled environment.