Abstract
In-patient treatment is a complex system of recursively interacting components. Patient characteristics interact with caregiver characteristics, home context and ward factors. Quality improvement requires primary focus on the interacting factors over which the ward itself potentially has influence. Ward practice has to integrate the demands of the hospital owner, the legal framework for treatment and what we know facilitates effective treatment plans. We describe how we have implemented a quality improvement system that addresses these interplaying influences in acute adolescent psychiatry in Norway. The process involved with this system (developed in the UK for child and adolescent psychiatric units) is independent of the organisational structure of the department and which alternative resources it has to rely on. It is independent of the characteristics of the patient population, although specific standards can be developed for local requirements.
Highlights
The challenge for quality development concerns how to unite the perspective of the hospital owner with budgets to meet and politicians who determine those budgets with clinical expertise and patient and caregiver perspectives
The issues are the same for other types of unit, and there exists a model for out-patient treatment along similar lines to that described here, where the processes established for self-learning networks are the same.[1]
Joining Quality Network for Inpatient CAMHS (QNIC) enabled us to become aware of alternative ways to resolve the challenges of in-patient treatment through three members of staff visiting different units each year
Summary
How we do it in Norway: a golden middle way for quality development of in-patient services as applied to acute adolescent psychiatry. Quality improvement requires primary focus on the interacting factors over which the ward itself potentially has influence. We describe how we have implemented a quality improvement system that addresses these interplaying influences in acute adolescent psychiatry in Norway. The process involved with this system (developed in the UK for child and adolescent psychiatric units) is independent of the organisational structure of the department and which alternative resources it has to rely on. It is independent of the characteristics of the patient population, specific standards can be developed for local requirements
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