The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25752/psi.13263 |
Resumo: | Introduction: Acute inpatient services continue to be key components in psychiatric care for patients in crisis. In an economic crisis context, investment in Psychiatry is scarce and limited. Thus, optimizing hospital resources is much needed, allowing patients to receive the best treatment available and not remain in the hospital after resolution of the acute episode. Objective: To evaluate the effectiveness of creating an Inpatient Team (IT), according to the most frequently used variables in published studies (length of stay and readmission rates). Methods: Analysis of hospitalization records during two periods (P1 and P2), before and after IT’s creation. Data analysis was performed using the Statistical Package for Social Sciences (SPSS, version 20.0). Results: A statistically significant difference was confirmed in mean length of stay between the two periods, with a 21.47% reduction in P2 compared to P1. The difference in readmission rates was not statistically significant. Conclusion: This study demonstrated that the creation of an IT was associated with a decrease in the duration of hospitalization, confirming the importance of the optimization of human resources, particularly when these are scarce, aiming to improve the quality of inpatient care. |
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The Impact of Creating an Inpatient Team in an Acute Psychiatric WardO Impacto da Criação de uma Equipa de Internamento num Serviço de Internamento Agudo de PsiquiatriaArtigos OriginaisIntroduction: Acute inpatient services continue to be key components in psychiatric care for patients in crisis. In an economic crisis context, investment in Psychiatry is scarce and limited. Thus, optimizing hospital resources is much needed, allowing patients to receive the best treatment available and not remain in the hospital after resolution of the acute episode. Objective: To evaluate the effectiveness of creating an Inpatient Team (IT), according to the most frequently used variables in published studies (length of stay and readmission rates). Methods: Analysis of hospitalization records during two periods (P1 and P2), before and after IT’s creation. Data analysis was performed using the Statistical Package for Social Sciences (SPSS, version 20.0). Results: A statistically significant difference was confirmed in mean length of stay between the two periods, with a 21.47% reduction in P2 compared to P1. The difference in readmission rates was not statistically significant. Conclusion: This study demonstrated that the creation of an IT was associated with a decrease in the duration of hospitalization, confirming the importance of the optimization of human resources, particularly when these are scarce, aiming to improve the quality of inpatient care.Introdução: Os serviços de internamento de agudos continuam a ser uma componente fundamental nos departamentos de Psiquiatria para a estabilização psicopatológica de doentes em crise e em recidiva. Num contexto de crise económica, o investimento na área da Psiquiatria é parco e limitado. Há, portanto, uma grande necessidade de otimizar os recursos de internamento de modo a que os doentes recebam o melhor tratamento disponível e, sempre que possível, não permaneçam no hospital após a resolução do episódio agudo. Objetivo: Avaliar a eficácia da criação de uma Equipa de Internamento (EI), de acordo com as variáveis mais frequentemente utilizadas nos estudos publicados (duração de internamento e taxa de reinternamento). Métodos: Análise dos registos relativos aos internamentos durante dois períodos (P1 e P2), antes e depois da criação da EI. A análise de dados foi realizada com recurso ao Statistical Package for Social Sciences (SPSS, version 20.0). Resultados: Foi confirmada uma diferença estatisticamente significativa na duração de internamento entre os dois períodos, com uma redução de 21,47% em P2 em comparação com P1. A diferença nas taxas de reinternamento não foi estatisticamente significativa. Conclusão: Este estudo demonstrou que a criação de uma EI foi associada a uma diminuição da duração de internamento, confirmando a importância da otimização dos recursos humanos, particularmente quando estes são escassos, tendo em vista a melhoria dos cuidados prestados aos doentes psiquiátricos internados.Departamento de Saúde Mental | Hospital Prof. Doutor Fernando Fonseca, EPE2019-08-18T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25752/psi.13263eng2182-31461646-091XAbreu, TâniaRibeiro, ÂngelaRibeiro, JoãoFonseca, Marisavon Doellinger, Orlandoinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-05-16T14:12:00Zoai:ojs.revistas.rcaap.pt:article/13263Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:14.390580Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward O Impacto da Criação de uma Equipa de Internamento num Serviço de Internamento Agudo de Psiquiatria |
title |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
spellingShingle |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward Abreu, Tânia Artigos Originais |
title_short |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
title_full |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
title_fullStr |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
title_full_unstemmed |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
title_sort |
The Impact of Creating an Inpatient Team in an Acute Psychiatric Ward |
author |
Abreu, Tânia |
author_facet |
Abreu, Tânia Ribeiro, Ângela Ribeiro, João Fonseca, Marisa von Doellinger, Orlando |
author_role |
author |
author2 |
Ribeiro, Ângela Ribeiro, João Fonseca, Marisa von Doellinger, Orlando |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Abreu, Tânia Ribeiro, Ângela Ribeiro, João Fonseca, Marisa von Doellinger, Orlando |
dc.subject.por.fl_str_mv |
Artigos Originais |
topic |
Artigos Originais |
description |
Introduction: Acute inpatient services continue to be key components in psychiatric care for patients in crisis. In an economic crisis context, investment in Psychiatry is scarce and limited. Thus, optimizing hospital resources is much needed, allowing patients to receive the best treatment available and not remain in the hospital after resolution of the acute episode. Objective: To evaluate the effectiveness of creating an Inpatient Team (IT), according to the most frequently used variables in published studies (length of stay and readmission rates). Methods: Analysis of hospitalization records during two periods (P1 and P2), before and after IT’s creation. Data analysis was performed using the Statistical Package for Social Sciences (SPSS, version 20.0). Results: A statistically significant difference was confirmed in mean length of stay between the two periods, with a 21.47% reduction in P2 compared to P1. The difference in readmission rates was not statistically significant. Conclusion: This study demonstrated that the creation of an IT was associated with a decrease in the duration of hospitalization, confirming the importance of the optimization of human resources, particularly when these are scarce, aiming to improve the quality of inpatient care. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-18T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25752/psi.13263 |
url |
https://doi.org/10.25752/psi.13263 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2182-3146 1646-091X |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Departamento de Saúde Mental | Hospital Prof. Doutor Fernando Fonseca, EPE |
publisher.none.fl_str_mv |
Departamento de Saúde Mental | Hospital Prof. Doutor Fernando Fonseca, EPE |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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_version_ |
1799129846113107968 |