Implications of bed reduction in an acute psychiatric service

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dc.contributor.authorBastiampillai, T.
dc.contributor.authorBidargaddi, N.
dc.contributor.authorDhillon, R.
dc.contributor.authorSchrader, G.
dc.contributor.authorStrobel, J.
dc.contributor.authorGalley, P.
dc.date.issued2010
dc.description.abstractObjective: To evaluate the impact of psychiatric inpatient bed closures, accompanied by a training program aimed at enhancing team effectiveness and incorporating datadriven practices, in a mental health service. Design and setting: Retrospective comparison of the changes in services within three consecutive financial years: baseline period — before bed reduction (2006–07); observation period — after bed reduction (2007–08); and intervention period — second year after bed reduction (2008–09). The study was conducted at Cramond Clinic, Queen Elizabeth Hospital, Adelaide. Main outcome measures: Length of stay, 28-day readmission rates, discharges, bed occupancy rates, emergency department (ED) presentations, ED waiting time, seclusions, locality of treatment, and follow-up in the community within 7 days. Results: Reduced bed numbers were associated with reduced length of stay, fewer referrals from the community and subsequently shorter waiting times in the ED, without significant change in readmission rates. A higher proportion of patients was treated in the local catchment area, with improved community follow-up and a significant reduction in inpatient seclusions. Conclusion: Our findings should reassure clinicians concerned about psychiatric bed numbers that service redesign with planned bed reductions will not necessarily affect clinical care, provided data literacy and team training programs are in place to ensure smooth transition of patients across ED, inpatient and community services.
dc.description.statementofresponsibilityTarun J Bastiampillai, Niranjan P Bidargaddi, Rohan S Dhillon, Geoffrey D Schrader, Jörg E Strobel and Philip J Galley
dc.identifier.citationMedical Journal of Australia, 2010; 193(7):383-386
dc.identifier.doi10.5694/j.1326-5377.2010.tb03963.x
dc.identifier.issn0025-729X
dc.identifier.issn1326-5377
dc.identifier.orcidBidargaddi, N. [0000-0003-2868-9260]
dc.identifier.orcidSchrader, G. [0000-0002-2504-8102]
dc.identifier.urihttp://hdl.handle.net/2440/62350
dc.language.isoen
dc.publisherAustralasian Med Publ Co Ltd
dc.rights© The Medical Journal of Australia 2010
dc.source.urihttps://doi.org/10.5694/j.1326-5377.2010.tb03963.x
dc.subjectHumans
dc.subjectLength of Stay
dc.subjectPatient Discharge
dc.subjectPatient Readmission
dc.subjectRetrospective Studies
dc.subjectFollow-Up Studies
dc.subjectMental Health Services
dc.subjectHospital Bed Capacity
dc.subjectPsychiatric Department, Hospital
dc.subjectQuality of Health Care
dc.subjectAustralia
dc.subjectCatchment Area, Health
dc.titleImplications of bed reduction in an acute psychiatric service
dc.typeJournal article
pubs.publication-statusPublished

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