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Irish Journal of Medical Science (1971 -)
Published in: Irish Journal of Medical Science (1971 -) 2/2012

01-06-2012 | Original Article

Guidelines reduce time to consultation for a liaison psychiatry service in an Irish teaching hospital

Authors: J. Lyne, B. O’Donoghue, M. Bonnar, D. Golden, P. Burke, M. Hill, A. Kinsella, C. McInerney, I. Callanan, M. Ryan

Published in: Irish Journal of Medical Science (1971 -) | Issue 2/2012

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Abstract

Background

Timeliness of response from referral to consultation is necessary to provide best standards of care to inpatients in the general hospital setting.

Aims

To measure the length of time from referral to consultation in a liaison psychiatry service, and improve service delivery by introducing guidelines for time to consultation.

Methods

Time to consultation was measured on all patients presenting to a liaison psychiatry consultation service over an initial 6-month period, with subsequent repeat measurement following the introduction of guidelines.

Results

There were significant reductions for time to consultation in the service for the second cycle of the audit (χ2 = 43.84, P < 0.001), and targets based on international standards were achieved.

Conclusions

Introduction of guidelines for time to consultation, may improve response times, leading to improved quality of service for inpatient consultation services.
Literature
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National Health Service (2002) Principles for best practice in clinical audit. Radcliffe Medical Press, Oxon
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Jamtvedt G, Young JM, Kristoffersen DT, O’Brien MA, Oxman AD (2006) Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care 15(6):433–436PubMedCrossRef
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Stoudemire A, Bronheim H, Wise TN (1998) Why guidelines for consultation-liaison psychiatry? Psychosomatics 39(4):S3–S7PubMedCrossRef
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Saravay SM, Lavin M (1994) Psychiatric comorbidity and length of stay in the general hospital. A critical review of outcome studies. Psychosomatics 35(3):233–252PubMedCrossRef
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Hall RC, Frankel BL (1996) The value of consultation-liaison interventions to the general hospital. Psychiatr Serv 47(4):418–420PubMed
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Katon W (1996) The impact of major depression on chronic medical illness. Gen Hosp Psychiatry 18(4):215–219PubMedCrossRef
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Francis J, Kapoor WN (1992) Prognosis after hospital discharge of older medical patients with delirium. J Am Geriatr Soc 40(6):601–606PubMed
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O’Keeffe N, Ramaiah U, Nomani E, Fitzpatrick M, Ranjith G (2007) Benchmarking a liaison psychiatry service: a prospective 6-month study of quality indicators. Psychiatr Bull 31:345–347CrossRef
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Archinard M, Dumont P, de Tonnac N (2005) Guidelines and evaluation: improving the quality of consultation-liaison psychiatry. Psychosomatics 46(5):425–430PubMedCrossRef
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Holmes AC, Judd FK, Lloyd JH, Dakis J, Crampin EF, Katsenos S (2000) The development of clinical indicators for a consultation-liaison service. Aust N Z J Psychiatry 34(3):496–503PubMedCrossRef
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Holmes AC, Judd FK, Yeatman R et al (2001) A 12-month follow up of the implementation of clinical indicators in a consultation-liaison service. Aust N Z J Psychiatry 35(2):236–239PubMedCrossRef
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Lyne J, Hill M, Burke P, Ryan M (2009) Audit of an inpatient liaison psychiatry consultation service. Int J Health Care Qual Assur 22(3):278–288PubMedCrossRef
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Lyne J, O’Donoghue B, Bonnar M et al (2010) Reasons for referral and consultation liaison psychiatry diagnoses. Ir J Psych Med 27(3):123–129
Metadata
Title
Guidelines reduce time to consultation for a liaison psychiatry service in an Irish teaching hospital
Authors
J. Lyne
B. O’Donoghue
M. Bonnar
D. Golden
P. Burke
M. Hill
A. Kinsella
C. McInerney
I. Callanan
M. Ryan
Publication date
01-06-2012
Publisher
Springer-Verlag
Published in
Irish Journal of Medical Science (1971 -) / Issue 2/2012
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-010-0511-5

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Keynote webinar | Spotlight on medication adherence

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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