Legal issues in the care of psychiatric patients in the emergency department

2013 ◽  
pp. 156-164
Author(s):  
Cynthia Major-Lewis ◽  
Dennis Barton ◽  
Patrick Triplett ◽  
Darren Mareiniss ◽  
Arjun Chanmugam ◽  
...  
Keyword(s):  
Emergency Department ◽  
Psychiatric Patients ◽  
Legal Issues

scholarly journals Reported and unreported potentially important incidental findings in urgent nonenhanced abdominal CT for renal colic

2021 ◽  
Author(s):  
Elena Belloni ◽  
Stefania Tentoni ◽  
Ilaria Fiorina ◽  
Chandra Bortolotto ◽  
Olivia Bottinelli ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Status ◽  
Pleural Effusion ◽  
Incidental Findings ◽  
Renal Colic ◽  
Legal Issues ◽  
Abdominal Ct ◽  
Significant Difference ◽  
Original Report ◽  
The Difference

PURPOSE: To retrospectively evaluate the prevalence of reported and unreported potentially important incidental findings in consecutive nonenhanced abdominal CTs performed specifically for renal colic in the urgent setting. METHOD: One radiologist, blinded to the finalized report, retrospectively re-evaluated nonenhanced abdominal CTs performed from January through December 2017 on adult patients from the Emergency Department with the specific request of urgent evaluation for renal colic, searching for potentially important incidental findings. RESULTS: The CTs of 312 patients were included in the study. Thirty-eight findings were reported in 38 different CTs, whereas the re-evaluation added 47 unreported findings in 47 different CTs, adding to total of 85 findings (27%). The difference in the proportion of reported and unreported potentially important incidental findings between the original report and re-evaluation was significant (P<.001). No significant difference was found between the age of patients with and without reported findings. The proportion of potentially important findings did not vary significantly among the three shifts neither in the original report nor in the re-evaluation. The most frequent findings, both reported and unreported, were pleural effusion, lymphadenopaties and liver nodules. CONCLUSIONS: Potentially important additional findings are frequently present in urgent nonenhanced abdominal CTs performed for renal colic, and many are not described in the finalized reports. Radiologists should take care not to under report potentially important incidental findings even in the urgent setting because of the possible consequences on the patient’s health status and in order to avoid legal issues, while satisfying the need for timely and efficient reporting.

Utilization of Emergency Departments for Psychiatric Treatment

1978 ◽  
Vol 23 (3) ◽  
pp. 143-148 ◽  
Author(s):  
G.D. Watson
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
Suicide Attempts ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Relevant Literature ◽  
Emergency Department Utilization ◽  
Annual Number ◽  
Personal Distress ◽  
Clinical Records

A survey of four Edmonton hospital emergency department records for a one month period was carried out to determine the frequency of utilization by patients suffering from psychiatric disorders. Male attenders outnumbered females and the majority of patients fell into the 21 — 50 year age range. Alcohol-related illness was almost three times more frequent in males than females, whereas females were more frequently categorized as suffering “personal distress” or presented as suicide attempts. Overall, seventy-three percent of the patients were discharged; of those admitted, females outnumbered males. The changing pattern of emergency department utilization was compared by examining data from one hospital for the years 1972, 1974 and 1976. During this four-year period the annual number of visits by psychiatric patients increased by almost eighty percent, largely due to dramatic increases in alcohol related problems in males and those described as “personal distress” in females. The establishment of intoxication recovery centres in 1973 paralleled a drop in the proportion of patients admitted to inpatient wards for alcohol-related, street drugs and overdose problems. The results of the present survey are compared to those reported in the relevant literature, and the methodological problems encountered in carrying out a retrospective study of emergency services from clinical records are described.

Ethico-legal issues by medical specialism A–M

2021 ◽  
pp. 229-260
Author(s):  
Anna Smajdor ◽  
Jonathan Herring ◽  
Robert Wheeler
Keyword(s):  
Mental Health ◽  
Emergency Department ◽  
General Practice ◽  
Interventional Radiology ◽  
Cardiac Surgery ◽  
Elderly Care ◽  
Legal Issues ◽  
Relative Risks ◽  
Clinical Records ◽  
Self Defence

This chapter covers Ethico-legal issues by medical specialism and includes topics on the following subjects (A-M): Anaesthetics: Child refusing treatment, Cardiac Surgery: Candour, Dentistry: Gillick Competence, Dermatology; a right to treatment?, Diabetology: Maintaining clinical records, Elderly Care: Refusal of Treatment, Emergency Department: Knife Crime, Emergency Department: Restraint/Self-Defence, Endocrinology: Wishes/Feelings, ENT: Consent/Necessity, Family Planning: Gillick Competence, Gastroenterology: Mental Health Act, General Practice: Cultural Circumcision, General Surgery: Need for clinicians to keep up to date, Genetics: Confidentiality, Gynaecology: abortion, HIV: Confidentiality, Intensive Care: DNACPR, Interventional Radiology: Relative Risks, and Maxillofacial: Candour.

Barriers to providing optimal management of psychiatric patients in the emergency department (psychiatric patient management)

2019 ◽  
Vol 22 (1) ◽  
pp. 8-12
Author(s):  
Mahesha H.K. Dombagolla ◽  
Joyce A. Kant ◽  
Fiona W.Y. Lai ◽  
Andreas Hendarto ◽  
David McD. Taylor
Keyword(s):  
Emergency Department ◽  
Psychiatric Patient ◽  
Patient Management ◽  
Psychiatric Patients ◽  
Optimal Management

249 Waiting for Care: Differences in Emergency Department Length of Stay and Disposition Between Medical and Psychiatric Patients

2016 ◽  
Vol 68 (4) ◽  
pp. S97 ◽  
Author(s):  
S.C. Lippert ◽  
N. Jain ◽  
A. Nesper ◽  
J. Fahimi ◽  
E. Pirrotta ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Psychiatric Patients

scholarly journals Emergency psychiatric referrals to a university hospital in Pakistan

1993 ◽  
Vol 17 (8) ◽  
pp. 471-472 ◽  
Author(s):  
Hashim Reza ◽  
Sajid Mahmood Choudhry ◽  
Murad Moosa Khan
Keyword(s):  
Emergency Department ◽  
United Kingdom ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
University Hospital ◽  
General Hospitals ◽  
The United Kingdom ◽  
Accident And Emergency ◽  
Accident And Emergency Department

The role of the accident and emergency department in the care of psychiatric patients has been long recognised. Mindham et al (1973) reported that many psychiatric patients, at their first or subsequent contact, present themselves as emergencies, and therefore a suitable service must be provided for them. It is interesting that a large number of reports describe various aspects of one particular service in London, namely the Maudsley Emergency Clinic. Several recent reports describe emergency psychiatric services in different district general hospitals in the United Kingdom.

scholarly journals Lean management in a liaison psychiatry department: implementation, benefits and pitfalls

2019 ◽  
Vol 44 (1) ◽  
pp. 18-25
Author(s):  
Lauren Alexander ◽  
Susan Moore ◽  
Nigel Salter ◽  
Leonard Douglas
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Interpersonal Relations ◽  
Psychiatric Patients ◽  
Process Mapping ◽  
Lean Management ◽  
Liaison Psychiatry ◽  
Process Maps ◽  
Individual Interviews ◽  
Management Intervention

Aims and methodTo apply process mapping, a component of lean management, to a liaison psychiatry service of an emergency department. Lean management is a strategy that has been adapted to healthcare from business and production industries and aims to improve efficiency of a process. The process consisted of four stages: individual interviews with stakeholders, generation of process maps, allocation of goals and assessment of outcomes.ResultsThere was a significant reduction in length of stay of psychiatric patients in the emergency department (median difference: 1 h; P = 0.015). Five of the six goals were met successfully.Clinical implicationsThis article demonstrates a management intervention that successfully reduced length of stay in an emergency department. Further to the improvements in tangible (quantitative) outcomes, process mapping improved interpersonal relations between different disciplines. This paper may be used to guide similar quality improvement exercises in other areas of healthcare.

Sign in / Sign up

Export Citation Format

Share Document