Evidence map›Paper›PMID 26711094›Full record

ArticleCommunity mental health journal2016

Improving Quality of Emergency Care Through Integration of Mental Health.

Martha Okafor, Glenda Wrenn, Victor Ede, Nana Wilson, William Custer, Emile Risby, Michael Claeys, Frank E Shelp, Hany Atallah, Gail Mattox and 1 more

Abstract read
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In one paragraph

Article in Community mental health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Promoting Mental Health Equity: The Role of Integrated Care.Journal of clinical psychology in medical settings · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Martha OkaforYale University School of Nursing, New Haven, CT, USA.
Glenda WrennDivision of Behavioral Health in Satcher Health Leadership Institute, Department of Psychiatry and Behavioral Sciences, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA.
Victor EdeDivision of Behavioral Health in Satcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA. vede@msm.edu.
Nana WilsonDepartment of Microbiology, Biochemistry and Immunology, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA.
William CusterCenter for Health Services Research, Institute of Health Administration, Georgia State University, Atlanta, GA, USA.
Emile RisbyGeorgia State Department of Behavioral Health and Developmental Disabilities, Atlanta, GA, 30303, USA.
Michael ClaeysDepartment of Behavioral Health, Grady Health System, Atlanta, GA, USA.
Frank E ShelpGeorgia State Department of Behavioral Health and Developmental Disabilities, Atlanta, GA, 30303, USA.
Hany AtallahGrady Health System, Atlanta, GA, USA.
Gail MattoxDepartment of Psychiatry and Behavioral Sciences, Morehouse School of Medicine, 720 Westview Drive, SW, Atlanta, GA, 30310, USA.
David SatcherSatcher Health Leadership Institute, Morehouse School of Medicine, 720 Westview Drive, SW, Atlanta, GA, 30310, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The goal of this study was to better integrate emergency medical and psychiatric care at a large urban public hospital, identify impact on quality improvement metrics, and reduce healthcare cost. A psychiatric fast track service was implemented as a quality improvement initiative. Data on disposition from the emergency department from January 2011 to May 2012 for patients impacted by the pilot were analyzed. 4329 patients from January 2011 to August 2011 (pre-intervention) were compared with 4867 patients from September 2011 to May 2012 (intervention). There was a trend of decline on overall quality metrics of time to triage and time from disposition to discharge. The trend analysis of the psychiatric length of stay and use of restraints showed significant reductions. Integrated emergency care models are evidence-based approach to ensuring that patients with mental health needs receive proper and efficient treatment. Results suggest that this may also improve overall emergency department's throughput.

Indexed as

Cost-Benefit AnalysisEmergency Services, PsychiatricGeorgiaHumansLength of StayQuality ImprovementQuality Indicators, Health CareTriageBehavioral healthEmergency careIntegrated carePsychiatric fast track service

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.