Performance Improvement 2010. Provide Psychiatric Care


Researchers examined the literature on the extent to which psychiatric patients are boarded in emergency departments.  Although there is no standard definition of psychiatric boarding, the existing literature indicates that it can lead to serious consequences, for boarded patients, emergency department staff and other patients in the emergency department.  It can have a significant financial impact on hospitals.  Psychiatric boarding occurs as a result of the general lack of inpatient beds, insurance preauthorization necessary for admission, difficulty in placement or transfer to a receiving facility, and lack of outpatient facilities or community resources.  Suggested practice improvements include addressing capacity constraints, improving quality of care, training emergency department staff and law enforcement personnel, and coordinating emergency department care with community mental health services. (9300

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