Missed Serious Medical Illness in Psychiatric Patients Seen in an Academic Emergency Department
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 800
- 主要终点
- Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
研究概览
简要总结
Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. The investigators define "serious medical illness" (SMI) as a pathological condition that would necessitate inpatient treatment on a medical or surgical ward. It is important for patient safety that SMI be triaged by the emergency physician to the appropriate inpatient service. The rate of missed SMI in patients with psychiatric presentations to the ED is unknown. The investigators will research missed SMI in patients referred to adult psychiatry from the ED, with the intent to improve patient safety.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients greater than or equal to 18 years of age presenting to London Health Sciences Centre, Victoria Hospital emergency department between October 1, 2014 - July 31, 2015 who were referred to adult psychiatry by the emergency physician.
排除标准
- 未提供
结局指标
主要结局
Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
时间窗: Approximately 8 months
Medical / surgical admission diagnosis
时间窗: Approximately 8 months
This will be extracted from the electronic medial record.
Number of days after psychiatric referral that patient is admitted to medical / surgical service
时间窗: Approximately 8 months
次要结局
- Proportion of patients discharged home from the emergency department by psychiatry following referral by the emergency physician(Approximately 8 months)
- Risk factors associated with medical / surgical admission after initial psychiatry referral(Approximately 8 months)
- Number of admissions to medical / surgical service within 30 days of discharge from psychiatry(Approximately 8 months)
研究者
Chris Poss
Resident
Western University, Canada