Measuring quality of care in psychiatric emergencies: construction and evaluation of a Bayesian index.

摘要: Abstract OBJECTIVE. This study was conducted to determine whether an index for measuring quality of care psychiatric emergencies is reliable and valid. DATA SOURCES/STUDY SETTING. The used primary data collected over a 12-month period from two urban hospitals in the Northeast. One had 700 inpatient beds, unit, community mental health personnel located emergency department. other 300 beds but none hospital's features. STUDY DESIGN. developed by panel experts psychiatry using subjective Bayesian statistical methodology evaluated terms its ability to: (1) predict second panel's judgments quality; (2) specific quality-related patient outcome, i.e., compliance with follow-up recommendations; (3) provide measurement procedure; (4) detect variations patterns department practices. COLLECTION/EXTRACTION METHODS. Data were on 2,231 randomly selected patients (psychiatric diagnosis, alcohol abuse, nonverbal experiencing emergency, somatic complaints such as life crisis) treated departments hospitals. PRINCIPAL FINDINGS. predicted physician quality, reliable, exhibited sufficient variation scores, strongly associated compliance. CONCLUSIONS. demonstrated that model can be develop valid care, potential practical application management services.