[Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study]

Psychiatr Prax. 2007 Jan;34(1):26-33. doi: 10.1055/s-2005-866920. Epub 2006 Nov 15.
[Article in German]

Abstract

Objective: The clinical practice concerning the use of coercive measures in psychiatry should be compared.

Method: A common documentation of physical restraint, seclusion, and medication by coercion was introduced among 10 hospitals.

Results: 8.4 % of cases treated within the first 6 months of 2004 were exposed to coercive measures with the highest percentage among patients with psychoorganic disorders (32.1 %). The incidence of coercive measures varied highly between different diagnostic groups and hospitals.

Discussion: The processing of the large multi-site data sets yields considerable technical problems. Data interpretation should consider confounding factors such as case mix and hospital structure characteristics.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Benchmarking / standards*
  • Coercion*
  • Cross-Sectional Studies
  • Data Collection / statistics & numerical data*
  • Diagnosis-Related Groups / statistics & numerical data
  • Documentation / statistics & numerical data
  • Germany
  • Hospitals, Psychiatric / standards*
  • Humans
  • Mental Disorders / epidemiology
  • Patient Isolation / statistics & numerical data
  • Psychotropic Drugs / administration & dosage
  • Quality Assurance, Health Care / standards*
  • Quality Indicators, Health Care / standards
  • Restraint, Physical / statistics & numerical data
  • Risk Management / statistics & numerical data*
  • Violence / prevention & control*
  • Violence / psychology

Substances

  • Psychotropic Drugs