在马萨诸塞州住院精神病医院的投诉,限制和隔离,2008-2018年
Morgan C Shields1, Mara A G Hollander2
1Brown School, Washington University in St. Louis, St. Louis, USA.
Journal of patient experience
|June 16, 2023
概括
与非IMD相比,精神疾病机构 (IMD) 的克制,隔离和投诉率明显更高. 这项研究突出了改善精神病院患者安全和权利的关键领域.
科学领域:
- 精神病学是一个精神病学.
- 卫生政策 卫生政策
- 患者安全 患者安全
背景情况:
- 有限的研究存在于住院精神病治疗的质量.
- 扩大接入的政策,比如医疗补助计划第1115条对精神疾病机构 (IMDs) 的豁免,正在增加.
- 了解IMD中的患者护理质量至关重要.
研究的目的:
- 评估2008-2018年马萨诸塞州住院精神病医院的投诉,克制和隔离率.
- 为了比较IMD和非IMD之间的这些比率.
- 提供美国住院精神病医院的投诉的第一个已知的描述.
主要方法:
- 利用来自公共记录请求的数据.
- 分析了 17,962 个总投诉和 92,670 个克制和孤立的情节.
- 在IMD和非IMD之间比较事件率 (限制,隔离,投诉).
主要成果:
- 48.9%的投诉与安全有关,19%与滥用有关.
- 与非IMD相比,IMD的克制率 (47.8%),隔离率 (68.3%),总体投诉率 (276.9%),有根据的投诉率 (284.8%),安全投诉率 (183.6%) 和滥用投诉率 (236.1%) 显著更高.
- 平均率:每30个人口普查日,每个设施有7.47个限制,1.81个隔离和0.94个投诉.
结论:
- IMD显示患者护理质量指标明显较差.
- 政策必须加强患者权利,以患者为中心,以及外部关键事件报告.
- 需要对IMD监督和患者安全协议进行紧急改进.
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