PMID: 8972941Jan 1, 1996Paper

Quality management in mental health. II. Managing risk of dangerousness

American Journal of Medical Quality : the Official Journal of the American College of Medical Quality
R L ColemanM F Higgins

Abstract

In 1995 R. L. Coleman and D. E. K. Hunter described a quality management approach that produced measurable improvements in quality of care in a state-operated psychiatric hospital. Continued evolution of this approach has subsequently enabled the development and implementation of effective processes for managing risk of dangerousness among patients throughout the hospital. Supported by management principles that promote hospital-wide quality improvement, clinicians and managers produced an environment that was conducive to promoting quality. The hospital-wide quality improvement context involved integrating multiple activities designed to promote quality of care, including significant collaborations with other health care organizations. The hospital's mission as an acute care psychiatric facility has required that it focus on assessing and managing risk of dangerousness in a systematic manner. This was done through developing and utilizing a predictive risk assessment instrument and indicators for managerial oversight. This was accomplished in these steps. First, clinical leaders rated potential criteria according to estimates of their ability to predict dangerousness behavior and reviewed their estimates in relation to clinica...Continue Reading

References

Feb 1, 1992·The American Journal of Psychiatry·D E McNielC Hatcher
Dec 1, 1981·The American Journal of Medicine·D M BerwickM C Weinstein
Jan 1, 1995·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·R L Coleman, D E Hunter
Apr 1, 1995·Psychiatric Services : a Journal of the American Psychiatric Association·P Roy-ByrneD L Patrick
Jan 11, 1995·JAMA : the Journal of the American Medical Association·R KossJ M Loeb

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Citations

Oct 10, 1998·New Directions for Mental Health Services·G V Sluyter
Jun 16, 2004·Xenotransplantation·A Ravelingien, J Braeckman

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