Abstract

The provision of quality healthcare is an international mandate. The provision of quality healthcare for mental health patients poses unique challenges. Nowhere is this challenge greater than in the emergency department. The purpose of this manuscript is to describe evidence-based initiatives for improving the quality of care of mental health patients in the emergency department. Specifically, the use of telepsychiatry and reducing provider biases will be presented.

Highlights

  • The provision of quality health care is an international mandate

  • While data are routinely collected and reported on measures such as 30-day mortality and re-admission rates for medical conditions such as heart failure and pneumonia, far less attention is paid to the quality of mental health care in hospitals, in the emergency department (ED)

  • Quality and safety of patient care of patients with mental health problems is a significant issue in healthcare, yet there is a paucity of data-based research on the topic

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Summary

Introduction

The provision of quality health care is an international mandate. While data are routinely collected and reported on measures such as 30-day mortality and re-admission rates for medical conditions such as heart failure and pneumonia, far less attention is paid to the quality of mental health care in hospitals, in the emergency department (ED). The Centers for Disease Control and Prevention report that ED visits by patients with mental health disorders are increasing more rapidly than general ED visits [1]. Mental disorders and/or substance abuse made up one of eight emergency department visits in 2010, which is nearly 12 million visits per year [2]. Many EDs are not equipped for provision of mental

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