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Audit in psychiatry: “failed discharges”

Published online by Cambridge University Press:  02 January 2018

E. Jones
E. Jones*
Affiliation:
Northern Regional Health Authority (address for correspondence: St Luke's Hospital, Middlesbrough, Cleveland TS4 3AF)
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Medical audit has been defined as the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patients (Department of Health, 1989). The medical profession has been under pressure to extend and improve audit procedures in recent years (McKee et al, 1989), but there have been doubts about the most satisfactory methods, particularly in psychiatry (Garden & Oyebode, 1989). There are numerous methodological problems in measuring the outcome of psychosocial care (Shaw, 1989; Royal College of Psychiatrists, 1989). Indicators of outcome which have been used in medicine include incidence of adverse events. Reintervention rates do offer some measure of outcome, and have been used widely in other medical specialities.

Type
Audit in Practice
Information
Psychiatric Bulletin , Volume 15 , Issue 1 , January 1991 , pp. 26 - 27
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1991

References

Department of Health (1989) Working for Patients. London: HMSO.Google Scholar
Garden, G. & Oyebode, E. (1989) Audit in psychiatry. Psychiatric Bulletin, 13, 278–281.CrossRefGoogle Scholar
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Pablo, R. Y., Kadlec, K. E. & Arboleda-Florez, J. (1986) The readmission of psychotic patients to a general hospital psychiatry unit. General Hospital Psychiatry, 8, 190–197.Google Scholar
Royal College of Psychiatrists (1989) Preliminary report on medical audit. Psychiatric Bulletin, 13, 577–582.Google Scholar
Shaw, C. D. (1989) Clinical outcome indicators. Health Trends, 21, 37–40.Google Scholar
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