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A completed audit cycle and integrated care pathway for the management of depression following brain injury in a rehabilitation setting.
- Source :
-
Clinical rehabilitation [Clin Rehabil] 2002 Aug; Vol. 16 (5), pp. 534-40. - Publication Year :
- 2002
-
Abstract
- Objective: To develop an evidence-based multidisciplinary integrated care pathway (ICP) for the management of depression following brain injury in a rehabilitation setting, and to assess its impact on standards of care and documentation.<br />Setting: A regional rehabilitation unit providing inpatient rehabilitation for young patients (16-65) with complex disabilities mainly resulting from brain injury.<br />Methods and Design: A completed cycle of audit including: standards set for documentation, assessment, management and review; an initial retrospective audit of documented patient management against those standards during a five-year period (26 patient records); ICP development by a multidisciplinary team of doctors, psychologists and nurses based on clinical opinion and systematic review of the literature; re-audit from the ICP documentation (48 patient records) over a period of 15 months.<br />Results: The initial audit demonstrated borderline acceptable documentation of baseline mood state and start of medication (54-61%), but poor documentation of review (29%) and subsequent treatment (27%). Introduction of the ICP improved all standards of documentation to 94-100%, except for assessment using a validated measure (84%) and follow-up assessment (76%).<br />Conclusions: This ICP raised staff awareness of depression, leading to improved documentation and possibly also standards of care.
- Subjects :
- Adolescent
Adult
Aged
Brain Injuries psychology
Depressive Disorder psychology
Documentation
Humans
Middle Aged
Outcome Assessment, Health Care organization & administration
Program Development
Retrospective Studies
Brain Injuries complications
Brain Injuries rehabilitation
Critical Pathways organization & administration
Delivery of Health Care, Integrated organization & administration
Depressive Disorder etiology
Depressive Disorder rehabilitation
Evidence-Based Medicine organization & administration
Medical Audit organization & administration
Quality of Health Care organization & administration
Rehabilitation Centers organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 0269-2155
- Volume :
- 16
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Clinical rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 12194624
- Full Text :
- https://doi.org/10.1191/0269215502cr523oa