Using electronic patient records to assess the impact of swine flu (influenza H1N1) on mental health patients

2011 ◽  
Vol 20 (1) ◽  
pp. 60-69 ◽  
Author(s):  
Lisa A. Page ◽  
Seeta Seetharaman ◽  
Imran Suhail ◽  
Simon Wessely ◽  
Jerson Pereira ◽  
...  
Keyword(s):  
Mental Health ◽  
Swine Flu ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Mental Health Patients ◽  
The Impact ◽  
Influenza H1n1

scholarly journals Mental health in South East London general hospitals: using electronic patient records to explore associations between psychiatric diagnoses and length of stay in a patient cohort receiving liaison psychiatry input

BJPsych Open ◽  
2019 ◽  
Vol 5 (6) ◽  
Author(s):  
Abbeygail Jones ◽  
Helen Todman ◽  
Mujtaba Husain
Keyword(s):  
Mental Health ◽  
Length Of Stay ◽  
Research Centre ◽  
Psychiatric Diagnoses ◽  
Patient Records ◽  
Electronic Patient Records ◽  
Liaison Psychiatry ◽  
General Hospitals ◽  
Bipolar Affective Disorders ◽  
The Impact

Background Psychiatric illnesses are prevalent in general hospitals and associated with length of stay (LOS). Liaison psychiatry teams provide psychiatric care in acute hospitals and can improve mental health-related outcomes but, to achieve ambitious policy targets, services must understand local need. Aims Using electronic patient records, we investigate associations between psychiatric diagnoses and LOS in South East London hospitals. Method Patient records were extracted using the South London and Maudsley NHS Foundation Trust Biomedical Research Centre Case Register Interactive Search system. There were 6378 admissions seen by liaison psychiatry aged <65 years between 2011 and 2016. Linear mixed-effects models investigated the impact of psychiatric diagnoses on LOS. Potential confounders included medical diagnoses, gender, age, ethnicity, social deprivation, hospital site and investment per admission. Results According to marginal means, longer LOS is associated with primary diagnoses of organic disorders (mean: 23 days, 95% CI 20.39–25.61), depressive disorders (mean: 11.03 days, 95% CI 9.74–25.61) and psychotic disorders (mean: 10.63 days, 95% CI 8.75–12.51). Shorter LOS is associated with personality disorders (mean: 6.28 days, 95% CI 4.12–8.45), bipolar affective disorders (mean 6.81 days, 95% CI 3.49–10.14) and substance-related problems (mean 7.53 days, 95% CI 6.01–9.05). Conclusions Psychiatric diagnoses have differential associations with in-patient LOS. Liaison psychiatry teams aim to mitigate the impact of psychiatric illness on patient and hospital outcomes but understanding local need and the wider context of care provision is needed to maximise potential benefits. Declaration of interest M.H. is a consultant liaison psychiatrist for King's College Hospital adult liaison psychiatry team. At the time of writing, H.T. was senior business manager at SLaM psychological medicine and integrated care clinical academic group. These may be considered financial and/or non-financial interests given the implications of findings for service funding.

The impact of electronic patient records on workflow in general practice

2007 ◽  
Vol 13 (2) ◽  
pp. 155-160 ◽  
Author(s):  
Matthew R. Cauldwell ◽  
Caroline E. Beattie ◽  
Benita M. Cox ◽  
William J. Denby ◽  
Jessica A. Ede-Golightly ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Records ◽  
Electronic Patient Records ◽  
The Impact

scholarly journals COVID-19 creating challenges in a rehabilitation facility in Australia: A discussion paper

2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
Janet Green ◽  
Joanne Vallance ◽  
Rebekah Choong ◽  
Georgina McBride ◽  
Jeyanthi Arockiam ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Wellbeing ◽  
Discussion Paper ◽  
Rehabilitation Care ◽  
Mental Health Patients ◽  
Rehabilitation Facilities ◽  
Communication Challenges ◽  
Mental Health Practices ◽  
The Impact ◽  
Sydney Australia

The COVID-19 pandemic has brought about many challenges and alterations to long-standing procedures within rehabilitation facilities. These updates of the processes undertaken by staff in such settings have been radical and ongoing. COVID-19 impact on the healthcare system should never be underestimated nor under appreciated. The impact that this pandemic has had on rehabilitation care is unique. This has been the catalyst to identifying significant challenges and subsequent changes within rehabilitation and mental health practices. Social measures that have been implemented in the community have had exaggerated and magnified effects both on the physical and mental wellbeing of rehabilitation and mental health patients. Over the course of these adaptations and implementations, impacts on communication, mental health, workload and care efficiencies were identified and explored. This paper is unique because different disciplines have shared their experiences of the impacts of the COVID-19 pandemic and how they provide rehabilitation. The paper will focus on the communication challenges using masks, not being able to engage families and carers, restriction of group therapies, social isolation of patients and healthcare workers while adhering to guidelines set by NSW Health (Sydney, Australia).

scholarly journals The end of indefinitely renewable leave of absence in Scotland: the impact of the Mental Health (Patients in the Community) Act 1995

2002 ◽  
Vol 13 (2) ◽  
pp. 298-314 ◽  
Author(s):  
Jacqueline M. Atkinson ◽  
Helen C. Garner ◽  
W. Harper Gilmour ◽  
James A. T. Dyer
Keyword(s):  
Mental Health ◽  
Mental Health Patients ◽  
Leave Of Absence ◽  
The Impact

scholarly journals Quantifying the Impact of Phenoconversion on Medications With Actionable Pharmacogenomic Guideline Recommendations in an Acute Aged Persons Mental Health Setting

2021 ◽  
Vol 12 ◽  
Author(s):  
Sam Mostafa ◽  
Thomas M. Polasek ◽  
Leslie J. Sheffield ◽  
David Huppert ◽  
Carl M. J. Kirkpatrick
Keyword(s):  
Mental Health ◽  
Genetic Variants ◽  
Cytochrome P450 Enzyme ◽  
Mental Health Setting ◽  
Care Model ◽  
Collaborative Care Model ◽  
Mental Health Patients ◽  
P450 Enzyme ◽  
Potential Benefits ◽  
The Impact

Introduction: Polypharmacy and genetic variants that strongly influence medication response (pharmacogenomics, PGx) are two well-described risk factors for adverse drug reactions. Complexities arise in interpreting PGx results in the presence of co-administered medications that can cause cytochrome P450 enzyme phenoconversion.Aim: To quantify phenoconversion in a cohort of acute aged persons mental health patients and evaluate its impact on the reporting of medications with actionable PGx guideline recommendations (APRs).Methods: Acute aged persons mental health patients (N = 137) with PGx and medication data at admission and discharge were selected to describe phenoconversion frequencies for CYP2D6, CYP2C19 and CYP2C9 enzymes. The expected impact of phenoconversion was then assessed on the reporting of medications with APRs.Results: Post-phenoconversion, the predicted frequency at admission and discharge increased for CYP2D6 intermediate metabolisers (IMs) by 11.7 and 16.1%, respectively. Similarly, for CYP2C19 IMs, the predicted frequency at admission and discharge increased by 13.1 and 11.7%, respectively. Nineteen medications with APRs were prescribed 120 times at admission, of which 50 (42%) had APRs pre-phenoconversion, increasing to 60 prescriptions (50%) post-phenoconversion. At discharge, 18 medications with APRs were prescribed 122 times, of which 48 (39%) had APRs pre-phenoconversion, increasing to 57 prescriptions (47%) post-phenoconversion.Discussion: Aged persons mental health patients are commonly prescribed medications with APRs, but interpretation of these recommendations must consider the effects of phenoconversion. Adopting a collaborative care model between prescribers and clinical pharmacists should be considered to address phenoconversion and ensure the potential benefits of PGx are maximised.

PP38 Rates of recording different aspects of patients’ social history on ambulance electronic patient records – a service evaluation

2021 ◽  
Vol 38 (9) ◽  
pp. A16.1-A16
Author(s):  
Chloé R Barley ◽  
Imogen M Gunson
Keyword(s):  
Social History ◽  
Median Number ◽  
Service Evaluation ◽  
Patient Records ◽  
Completion Rates ◽  
Electronic Patient Records ◽  
Minimal Impact ◽  
History Data ◽  
Qualitative Work ◽  
The Impact

BackgroundUnderstanding the impact of a patient’s social history forms part of medical assessments and wider NHS data collection. To date, there has been little work examining the extent of social history recording by ambulance clinicians. The aim of this service evaluation is to examine how frequently staff complete social history fields on electronic patient records and to identify patterns in completion rate when comparing categories of call, localities of crew, conveyance or non-conveyance, and individual fields of social history data.MethodA retrospective review of one NHS ambulance trust’s electronic patient records (attended 01/01/2019 – 31/12/2019) was conducted. 10% of the records were analysed due to software limitations (n = 134434 adult cases).ResultsVery few cases (<0.05%) had every field completed, with 28.6% of all cases having no fields completed at all. In 45% of cases, between 8 and 11 fields were completed. The mean number of fields completed per case was 5.79 and the median number was 7.‘Mobility’ and ‘Home circumstances’ were the most frequently completed and ‘Sexual Orientation’ and ‘Language’ were the least.Category of call appears to have minimal impact on completion rates. Localities and specialists had more variation, ranging from 21.3% to 49.9% with no fields completed at all.ConclusionSocial history documentation is very infrequently fully completed by frontline ambulance crews within this service. The majority of cases have a partially complete social history however, due to software limitations, it is unknown whether the same fields are consistently completed throughout these cases.Further research, including qualitative work, is recommended to understand the low rate of recording of social history data and how this information is used by ambulance staff.

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