Reducing Delay From Referral to Admission at a U.S. First-Episode Psychosis Service: A Quality Improvement Initiative.

Reducing Delay From Referral to Admission at a U.S. First-Episode Psychosis Service: A Quality Improvement Initiative.
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DOI:
10.1176/appi.ps.202100374
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发表时间:
2022-12-01
期刊:
Psychiatric services (Washington, D.C.)
影响因子:
--
通讯作者:
Srihari VH
Srihari VH
中科院分区:
其他
文献类型:
--
作者:
Ferrara M;Gallagher K;Yoviene Sykes LA;Markovich P;Li F;Pollard JM;Imetovski S;Cahill J;Guloksuz S;Srihari VH

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精神病发作和接受治疗之间的时期(未经治疗的精神病持续时间)是一个非常脆弱的时期。较长的DUP预测较差的结果,并且访问延迟可能会限制协调专业护理(CSC)服务的有效性。本报告详细介绍了更广泛的早期发现运动的一个组成部分,这是一项质量改进干预措施,重点是在7天的基准内减少确认资格和入院治疗之间的延迟。中位延迟显著下降(13.5至3天),4年内符合基准的入院比例有所改善(33%至71%)。这种干预提供了一种可持续的模式,以减少现有CSC的等待时间。
The period between psychosis onset and entry into care (duration of untreated psychosis-DUP) is one of great vulnerability. Longer DUP predicts poorer outcomes, and access delay can limit the effectiveness of Coordinated Specialty Care (CSC) services. This report details one component of a broader early detection campaign, a quality- improvement intervention that focused on reducing the delay between confirmation of eligibility and admission to care within a benchmark of 7 days. Median delay significantly fell (13.5 to 3 days) and the proportion of admissions that met the benchmark improved (33% to 71%) over 4 years. This intervention provides a sustainable model to reduce wait times at extant CSCs.
DOI: 10.1093/schizbullopen/sgab057
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影响因子: --
作者:
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