Characteristics of admissions to a recently opened Psychiatric Emergency Care Centre

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
Vlasios BrakouliasVladan Starcevic

Abstract

The Psychiatric Emergency Care Centre (PECC) is a relatively recent service development that aims to improve emergency care of psychiatric patients. The goal of this paper was to report on the characteristics of admissions to a recently established PECC. Several key characteristics of admissions to the PECC were documented for each of 376 patients in the first 6 months of its operation. These characteristics were then compared to the characteristics of admissions of 299 patients in the 'virtual' PECC (a PECC within the general emergency department) in the 6 months prior to the opening of the PECC. The most common presenting symptom in the PECC was suicidal ideation (47.6%, n = 179) and the most frequent diagnosis made in the PECC was adjustment disorder (35.9%, n = 135). When comparing admissions to the 'virtual' PECC, PECC admissions were characterized by a significantly less frequent use of physical restraint and haloperidol and midazolam as pro re nata (prn) medications. Although further study is needed, one possible advantage of the PECC may be a less frequent use of physical restraint and certain prn medications (i.e. haloperidol and midazolam) for agitated and aggressive patients.

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Citations

Dec 19, 2013·São Paulo Medical Journal = Revista Paulista De Medicina·Vitoria Mantoan PadilhaRenata Cruz Soares Azevedo
May 9, 2018·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Joanne SeymourVlasios Brakoulias
Sep 3, 2013·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Vlasios BrakouliasVladan Starcevic
Dec 9, 2017·Emergency Medicine Australasia : EMA·George BraitbergJonathan Knott
Feb 16, 2018·Journal of Psychosocial Nursing and Mental Health Services·Dominiek Coates
May 21, 2019·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Warren Kealy-BatemanNicholas Glozier
Dec 13, 2018·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Leonardo BaldaçaraTeng C Tung

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