scholarly journals Junior doctor daytime bleep audit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S75-S75
Author(s):  
Asha Dhandapani ◽  
Sathyan Soundararajan ◽  
Rajvinder Sambhi
Keyword(s):  
Mental Health ◽  
General Trend ◽  
Health Department ◽  
The West ◽  
North Wales ◽  
Educational Supervisor ◽  
Mental Health Department ◽  
The Impact ◽  
Mental Health Unit ◽  
Discharge Summaries

AimsThere had been ongoing concerns with regard to covering daytime duty bleeps across the three sites in the Mental health Department, BCUHB, North Wales.Frequent empty on-call slots meant some doctors being asked to hold the bleep between 9-5 in-order to cover the vacancy.Some felt this added to the existing workload and that it was unfair and unsafe.This issue was raised during a supervision session with the Educational supervisor, North Wales and an initial data collection was suggested.MethodData were collected over 2 week period to look at the Daytime bleep duties between 9 am to 5 pmWe hoped the data would demonstrate certain patterns of the task being asked to perform.ResultThe total number of bleeps were noted to be 249Discharge notification and prescription writing was noted to be the commonest reason for bleep in East and Central while Routine review and Discharge notification was the reason to be bleeped major number of times in the WestNearly 70% and 90% of the bleeps were found to be appropriate by the East and West respectively, while only a mere 15% were reported so in Central.While 30% of these bleeps in the West were considered to be deferred, 70% bleeps were deferrable in the East and almost 95% in Central.The general trend in all 3 centres was as follows:All three centres have high numbers of bleeps for discharge, prescribing tasks and routine patient reviewsMost think planned discharge paperwork could be done in advance and jobs can be deferred if there is a ward/team doctor availableConclusionA simple solution could be some jobs being planned ahead (e.g TTO/Discharge Summaries, Re-write charts) and done by the team/ward doctor. ECG could be arranged to be done by nurses/ECG technicians. Some nurses/HCAs are trained in phlebotomy, however, they have not been utilising the skills. That needed to be reinforced in safety huddles meeting.Apart from these suggestions, we were also wondering about the impact of the service models and how the juniors placed in the community mental health unit could stay involved in their team inpatients

scholarly journals The impact of unemployment on mental health examined in a community mental health unit during the recent financial crisis in Greece

Psychiatriki ◽  
2020 ◽  
Vol 30 (4) ◽  
pp. 281-290 ◽  
Author(s):  
G Konstantakopoulos ◽  
K. Pikouli ◽  
D Ploumpidis ◽  
E Bougonikolou ◽  
K Kouyanou ◽  
...  
Keyword(s):  
Mental Health ◽  
Financial Crisis ◽  
Community Mental Health ◽  
Health Unit ◽  
Recent Financial Crisis ◽  
The Impact ◽  
Mental Health Unit

scholarly journals An audit of admission clerking of patients in Heddfan, Adult Mental Health Unit in BCUHB - north Wales

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S75-S75
Author(s):  
Asha Dhandapani ◽  
Sathyan Soundararajan ◽  
Manjula Simiyon ◽  
Vinila Zachariah ◽  
Rajvinder Sambhi
Keyword(s):  
Mental Health ◽  
Physical Examination ◽  
Junior Doctors ◽  
Physical And Mental Health ◽  
Improvement Project ◽  
North Wales ◽  
History Of ◽  
Mental Health Unit ◽  
State Examination ◽  
Source Of Information

AimsTo ensure admission clerking includes salient features needed for the management of both physical and mental health of the patient and also to aid in administrative purposes.MethodThe audit included a team of doctors reviewing the admission clerking notes for 50 patients in the General Adult Psychiatric unit in-patient ward.We created a standard questionnaire-based on Intended learning outcome of core training in psychiatry CT1-CT3 from Royal College of Psychiatry and standard textbooks.Our aim is to achieve 100 % compliance in clerkingResultIt was noted that only 30% wrote their GMC number, 4% added route of admission of the patient and a mere 8% filled the Consultants name. Though almost everyone had written the presenting complaints, the other aspects such as history of presenting illness, medical and family history, Allergy status and substance misuse history were missing in many clerking notes. None of them had filled in details of personal history and very few did a risk assessment.Further lacuna was noted with Mental state examination. Physical examination was also noted to be incomplete. While more than 50% had completed the Blood investigations and ECG, half of them had not documented it and that meant searching in the entire file. A mere 20% filled the nursing observation level whilst none had completed the formulation in the notes.ConclusionAdmission clerking is a vital source of information that would be needed for the formulation of patients diagnosis and future management.Apart from this, it also is needed for further continuity of care.Hence this vital source of information will need to be shared with the junior doctors who will be clerking the patient and seeing them in the first instance.We, therefore, intend to create a complete clerking proforma along with physical health proforma to aid us in this respect.We will audit initially in the first round and then plan to introduce a proforma for Clerking and physical examination based on the findings.We will re-audit to see if the standards are achieved after using the proforma and will consider a Quality improvement project based on this topic

scholarly journals Researchable questions to support evidence-based mental health policy concerning adult mental illness

2002 ◽  
Vol 26 (10) ◽  
pp. 364-367 ◽  
Author(s):  
Graham Thornicroft ◽  
Jonathan Bindman ◽  
David Goldberg ◽  
Kevin Gournay ◽  
Peter Huxley
Keyword(s):  
Mental Health ◽  
Mental Health Policy ◽  
Health Department ◽  
Mental Health Research ◽  
Future Research ◽  
Policy Makers ◽  
Future Research Agenda ◽  
Department Of Health ◽  
National Service Framework ◽  
Mental Health Department

Policy makers find much mental health research irrelevant to their concerns. What types of research would directly assist those who formulate policy? The two purposes of this paper are (i) to identify important gaps in completed research, particularly in relation to the National Service Framework (NSF) for Mental Health (Department of Health, 1999a) and the NHS Plan (NHS Confederation, 2001); and (ii) to translate these gaps into researchable questions that can contribute to a debate about the future research agenda for general adult mental health in England.

How the psychiatrists of a mental health department managed their patients before an attempted suicide

2009 ◽  
Vol 63 (6) ◽  
pp. 706-714 ◽  
Author(s):  
Paolo Scocco ◽  
Elena Toffol ◽  
Elisa Pilotto ◽  
Pertile Riccardo ◽  
Luigi Pavan
Keyword(s):  
Mental Health ◽  
Attempted Suicide ◽  
Health Department ◽  
Mental Health Department

Recovery Colleges – safe, stimulating and empowering

2017 ◽  
Vol 21 (5) ◽  
pp. 280-288 ◽  
Author(s):  
Laurie Windsor ◽  
Glenn Roberts ◽  
Paul Dieppe
Keyword(s):  
Mental Health ◽  
Search Strategy ◽  
Positive Impact ◽  
Health Department ◽  
Content Type ◽  
Department Of Health ◽  
Production Safety ◽  
Educational Programmes ◽  
Mental Health Department ◽  
Use Of Health Services

Purpose Recovery Colleges could deliver many of the defined key outcomes within the Cross Governmental Mental Health Outcomes Framework “no health without mental health” (Department of Health, 2011). The purpose of this paper is to critically appraise the existing evidence of recovery educational programmes in mental health and gain a deeper understanding of the processes and outcomes involved. Design/methodology/approach A broad search strategy looking at recovery educational programmes in mental health was used. The data were gathered from two focus groups each containing five people, one with facilitators and one with students. Thematic analysis was used, following the six stages, recursive process recommended by Braun and Clarke (2006). Findings The main processes described in recovery programmes were co-production and education. The main outcomes were that recovery programmes led to a reduction in the use of health services, increased opportunities for future employment and a positive impact on staff. The process themes that appeared to emerge were the College ethos and principles, co-production, safety, empowerment and stimulation. The outcome themes that appeared to emerge included increased confidence, motivation and social interaction. Originality/value Recovery Colleges appear to benefit both facilitators and students by co-production of a safe, stimulating environment which empowers them: participating in the college benefits facilitators as well as students. This paper is of value to those interested in recovery and education within mental health.

scholarly journals Evaluation of health resources expenditure in two groups of psychotic patients treated with olanzapine and typical neuroleptics in a Italian Mental Health Department in Calabria Region

2008 ◽  
Vol 9 (1) ◽  
pp. 41-47
Author(s):  
Anna Caputo ◽  
Luca Guidi ◽  
Giovanni Biricolti ◽  
Sergio Torchia
Keyword(s):  
Mental Health ◽  
Health Resources ◽  
Health Department ◽  
Rehabilitation Services ◽  
Assessment Scores ◽  
Calabria Region ◽  
Emergency Interventions ◽  
Costs Of Treatment ◽  
Mental Health Department ◽  
Typical Neuroleptics

Numerous Italian and international trials have studied the global costs of treatment with olanzapine and typical neuroleptics. Our analysis confirms those results. In our study, treatment with olanzapine, as compared to typical neuroleptics, was associated with a greater reduction in emergency interventions (hospitalisations), with an increased use of rehabilitation services and with a small increase in the number of working days. The differences between the two groups for this variable were not great, while the differences in the assessment scores appeared important and statistically significant. The results of present study are relative to the practice of one Italian Mental Health Department and, for this reason, cannot be generalized. Anyway, they are another indication of increased efficiency of atypicals treatment over older neuroleptics in schizophrenia.

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