Developing a Minimum Data Set of Psychiatric Emergency Record

Document Type : Research Paper

Authors

1 کمیته تحقیقات دانشجویی، پزشکی، مشهد، ایران

2 Department of Medical Records and Health Information Technology, Faculty of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran

3 Assistant Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad.

4 Associate professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Masters in Clinical Psychology, Psychiatric and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction

Psychiatric emergencies are acute mental health, behavioral, and social disorder that require immediate intervention. The major role of psychiatric emergency services is to provide mental health services for eligible patients. The aim of this study was to design a minimum data set (MDS) for emergency psychiatry.

Methods

A comprehensive Grey Literature review was conducted in Iran, US, Australia, and England to identify sets of data elements for psychiatric emergencies in April 2019. Three psychiatric MSDs, two psychiatric emergencies guidelines, and five psychiatric record forms were identified. Then, the identified data elements were extracted and categorized. The face validity was assessed by an expert panel. The content validity of set of data elements and the clinical importance of data elements of the emergency psychiatry were evaluated. Data elements which received a score of 4–5 from 79% of the specialists were remained in the study.

Results

Out of a total of 93 identified data elements, 53 were considered as essential data element for MDS of emergency psychiatry. The data elements were categorized as follows groups: Sociodemographic data, psychiatric history, family psychiatric history, medical history, mental health/ psychiatric status, suicidal risk and harm risk for others, and diagnosis and treatment.

Conclusions

Given the importance of psychiatric disorder and the lack of a national system for gathering psychiatric information, perform the same study abut psychiatric data element is very important. The results of this study can be used for design psychiatric emergency forms and accurate and complete data gathering in psychiatric records.

Keywords

Main Subjects