Frequency of coercive measures as a quality indicator for psychiatric hospitals?

Der Nervenarzt
Tilman Steinert, E Flammer

Abstract

The percentage of patients subjected to coercive measures has been proposed as 1 of 10 quality indicators for psychiatric inpatient treatment by the German Association of Psychiatry, Psychotherapy and Psychosomatics (DGPPN). Internationally, there are similar recommendations and corresponding reporting systems. The registry of coercive measures of psychiatric hospitals in Baden-Württemberg that was established in 2015, yields the possibility to examine the appropriateness of this indicator, based on raw data of 108,863 cases in 2016. This study investigated how the indicator is influenced by patient variables and characteristics of hospital structure. The percentage of cases exposed to coercive measures was strongly (r = 0.6) correlated with the percentage of involuntarily treated cases. With respect to the latter, hospitals varied widely with a range from 0.7% up to 24.1%. Specialized wards serving patients outside the catchment area with a high number of coercive measures also had a strong influence on the results of a benchmarking comparison. The indicator is a good instrument for longitudinal evaluation of an institution; however, due to a high number of known and unknown confounding factors, it is inappropriate for the pur...Continue Reading

References

Jul 20, 2011·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Tilman Steinert, UNKNOWN Arbeitskreis Prävention von Gewalt und Zwang in der Psychiatrie
Mar 16, 2013·Der Nervenarzt·I GroßimlinghausJ Zielasek
Dec 18, 2013·The International Journal of Social Psychiatry·Barbara EmonsFranciska Illes
May 6, 2016·Social Psychiatry and Psychiatric Epidemiology·Peter LeppingEric O Noorthoorn
Jul 2, 2016·Psychiatric Services : a Journal of the American Psychiatric Association·Eric O NoorthoornGuy A M Widdershoven
May 10, 2017·Der Nervenarzt·I GroßimlinghausW Gaebel

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Citations

Mar 21, 2020·Frontiers in Psychiatry·Erich FlammerTilman Steinert

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