Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints

Hudson, John; Prewitt, Judy; Thompson, Julie; Pereira, Katherine

doi:10.1016/j.jen.2017.12.008

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Although the use of a triage algorithm for psychiatric screening to expedite medical clearance and reduce unnecessary pathology tests has been suggested, 21 the opportunity to reduce ED‐LOS likely exists mostly for patients with a known MHD according to a recent systematic review 22 . For these patients with an exacerbation of their MHD, a targeted physical examination and an assessment of mental state can usually suffice, without the need for urine toxicology or pathology testing 22 .…”

Section: Discussionmentioning

confidence: 99%

Patients with mental health conditions in the emergency department: Why so long a wait?

Sweeny

Keijzers

O’Dwyer

et al. 2020

Emerg Medicine Australasia

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Objectives: Patients presenting with a mental health disorder (MHD) wait longer in the ED compared to those presenting for other reasons, potentially placing vulnerable patients at further risk for deterioration. The present study identified factors associated with a long ED stay for patients with a MHD. Methods: Linked ambulance, emergency, pathology, imaging and admission data for an 18-month period were analysed for ED presentations diagnosed with an MHD ICD-10 at a large teaching hospital. Admissions and discharges were considered separately; a long ED stay was defined as the 90th percentile length of stay. Multivariable generalised linear models were built, identifying predictors of a long ED stay for presentations diagnosed with a MHD. Results: The sample comprised 1163 admissions and 2242 discharges. For admissions, significant predictors for long ED stay were investigations (pathology or imaging tests), a triage score of 1 or 2, arrival out-of-hours (18.00-05.59 hours) and arrival by ambulance. For discharges, significant predictors of a long ED stay were investigations (pathology or imaging tests), arrival out-of-hours, arrival by ambulance and increasing age. Conclusions: Some factors predictive of a long ED stay for patients presenting to the ED and diagnosed with a MHD varied based on their disposition. For admissions, the most urgent presentations were likely to stay longest. Strategies to reduce ED stay for both admissions and discharges should consider addressing modifiable aspects, including the need for certain investigations, and nonmodifiable aspects, including the need for further access to afterhours mental health services in hospital and in the community.

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Section: Discussionmentioning

confidence: 99%

Patients with mental health conditions in the emergency department: Why so long a wait?

Sweeny

Keijzers

O’Dwyer

et al. 2020

Emerg Medicine Australasia

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show abstract

“…They are equipped to provide brief episodic care, but not ongoing longitudinal behavioral healthcare 16. Many EDs do not have clinical staffing models that can provide the needed one-on-one care for high-acuity patients 17,18. These gaps have resulted in delays in the recognition, assessment, treatment, and care of patients with BHD 19,20…”

Section: Issues With Carementioning

confidence: 99%

Improving emergency care for patients with behavioral health disorders

Goldstein¹

2022

Nursing

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Care of patients with mental health issues in the emergency department: a quality improvement project

Goldstein

2021

Emergency Nurse

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Retrospective Chart Review of the Triage Algorithm for Psychiatric Screening (TAPS) for Patients Who Present to Emergency Departments With Psychiatric Chief Complaints

Cited by 3 publications

References 28 publications

Patients with mental health conditions in the emergency department: Why so long a wait?

Patients with mental health conditions in the emergency department: Why so long a wait?

Improving emergency care for patients with behavioral health disorders

Care of patients with mental health issues in the emergency department: a quality improvement project

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