Developing a minimum data set of psychiatric emergency record

Document Type : Research Paper

Authors

1 Ph.D. of medical informatics, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Assistant professor of health information management, Department of Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Associate professor of psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

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

5 MSc. in clinical psychology, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Psychiatric emergencies are acute mental health, behavioral, and social disorders requiring immediate intervention. The primary role of psychiatric emergency services is to provide mental health services for eligible patients. This study aimed to design a Minimum Data Set (MDS) for emergency psychiatry.
 Materials and Methods: A comprehensive Grey Literature review was conducted in Iran, the United States, Australia, and England to identify sets of data elements for psychiatric emergencies in April 2019. Three psychiatric MSDs, two psychiatric emergency guidelines, and five psychiatric record forms were identified. Then, the identified data elements were extracted and categorized. An expert panel assessed the face validity. The content validity of a set of data elements and the clinical importance of data elements in emergency psychiatry were evaluated. Data elements that received a score of 4-5 from 79% of the specialists remained in the study.
 Results: Out of a total of 93 identified data elements, 53 were considered essential data elements for MDS of emergency psychiatry. The data elements were categorized as follows: Socio-demographic data, psychiatric history, family psychiatric history, medical history, mental health/ psychiatric status, suicidal risk and harm risk for others, and diagnosis and treatment.
 Conclusion: Given the importance of psychiatric disorders and the lack of a national system for gathering psychiatric information, performing the same study on psychiatric data elements is essential. The findings of this study can be applied to design psychiatric emergency forms and accurate and complete data gathering in psychiatric records.

Keywords

References

  1. Patel V, Chisholm D, Dua T, Laxminarayan R, Medina-Mora ME. Mental, neurological, and substance use disorders: Disease control priorities. 3rd ed. Washington. DC.: The International Bank for Reconstruction and Development / The World Bank; 2016.
  2. Steel Z, Marnane C, Iranpour C, Chey T, Jackson JW, Patel V, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980-2013. Int J Epidemiol 2014; 43(2): 476-93.
  3. Wittchen HU, Jacobi F. Size and burden of mental disorders in Europe--a critical review and appraisal of 27 studies. Eur Neuropsychopharmacol 2005; 15(4): 357-76.
  4. Nochaiwong S, Ruengorn C, Thavorn K, Hutton B, Awiphan R, Phosuya C, et al. Global prevalence of mental health issues among the general population during the coronavirus disease-2019 pandemic: A systematic review and meta-analysis. Sci Rep 2021; 11(1): 1-18.
  5. Noorbala AA. [Investigation process into prevalence of mental disorders in Iran]. Archives of Iranian medicine 2015; 18(2): 74. (Persian)
  6. Mirghaed MT, Gorji HA, Panahi S. Prevalence of psychiatric disorders in Iran: A systematic review and meta-analysis. Int J Prev Med 2020; 11: 21.
  7. Shirzad F, Hadi F, Mortazavi SS, Biglari M, Noori Sari H, Mohammadi Z, et al. First line in psychiatric emergency: pre-hospital emergency protocol for mental disorders in Iran. BMC Emerg Med 2020; 20(1): 1-9.
  8. Adeosun II, Adegbohun AA, Jeje OO, Oyekunle OO, Omoniyi MO. Urgent and nonurgent presentations to a psychiatric emergency service in Nigeria: pattern and correlates. Emerg Med Int 2014; 2014: 479081.
  9. Pailhez G, Majó A, Córcoles D, Ginés JM, Arcega JM, Castaño J, et al. Clinical observation, pharmacotherapy and referral on discharge of patients with anxiety disorder in a psychiatric emergency service. Actas Esp Psiquiatr 2015; 43(1): 8-15.
  10. Schmidt M. Frequent visitors at the psychiatric emergency room–A literature review. Psychiatr Q 2018; 89(1): 11-32.
  11. Columb MP. Haji-Michael, Nightingale P. Data collection in the emergency setting. Emerg Med J2003; 20(5): 459-63.
  12. Hosseini AH, Moghaddasi, Jahanbakhsh M. [Designing minimum data sets of diabetes mellitus: Basis of effectiveness indicators of diabetes management]. Health information management 2010; 7(3): 330-40. (Persian)
  13. Australian Institute of Health and Welfare Canberra. Perinatal national minimum data set: National Health Data Dictionary, Version 12. [cited 2003]. Available from: https://www.aihw.gov.au/reports/mothers-babies/perinatal-nmds/contents/table-of-contents
  14. Australian Department of Health, Partners In Recovery (PIR). Coordinated support and flexible funding for people with severe, persistent mental illness and complex needs initiative. PIR Client Minimum Data Set; 2014.
  15. Rezaei Ardani A, Ahmadian L, Kimiyafar K, Rohani F, Ebnehoseini Z. [Comparative study of data elements in psychiatric history and assessment forms in selected countries]. Journal of health and biomedical informatics 2016; 3(1): 57-64. (Persian)
  16. Lotfnezhad Afshar H,Zare Fazl Elahi Z, Khoush Kalam M, Rezaei Hachehsou P. [Comparative study of mental health registry system of United Kingdom, Malaysia and Iran]. Health information management 2009; 6: 1-10. (Persian)
  17. Mahood Q, Van Eerd D, Irvin E. Searching for grey literature for systematic reviews: Challenges and benefits. Res Synth Methods 2014; 5(3): 221-34.
  18. Adams J, Hillier Brown FC, Moore HJ, Lake AA, Araujo-Soares V, White M, et al. Searching and synthesising ‘grey literature’and ‘grey information’in public health: Critical reflections on three case studies. Syst Rev 2016;
    5: 164.
  19. National Health Data Committee of Australian Institute of Health and Welfare Canberra. Admitted patient mental health care: National Minimum Data Set Version 12, 2003. [cited 2003]. Available from: https://www.aihw.gov.au/getmedia/79437e06-15f9-440d-805a 2c4751fdc2ee/apmhc.pdf.aspx?inline=true
  20. Australian Department of Health and Welfare. Admitted patient mental health care NMDS 2010-11. [cited 2019]. Available from: https://meteor.aihw.gov.au/content/index.phtml/itemId/386799
  21. Health and Social Care Information Center. National Health Service (NHS). Mental Health Minimum Dataset version 2.6. [cited 2005]. Available from: https://www.aihw.gov.au/getmedia/79437e06-15f9-440d-805a 2c4751fdc2ee/apmhc.pdf.aspx?inline=true
  22. Dawes SS, Bloniarz PA, Mumpower JL, Shern D, Stewart TR, Way BB. Supporting psychiatric assessments in emergency rooms. Albany: Center for Technology in Government, 1995. [cited 1995]. Available from: https://www.ctg.albany.edu/media/pubs/pdfs/supp_psych_assess.pdf
  23. Knoll JL. The psychiatric ER survival guide. Psychiatric Times. [cited 2014]. Available from: http://www. psychiatrictimes. com/all/editorial/psychiatrictimes/pdfs/psych-survival2.pdf.2014
  24. American Medical Association and Texas Medicaid and Healthcare Partnership. Psychiatric inpatient initial admission request form; 2011.
  25. Ministry of Health and Medical Education of Iran. Psychiatry form; 2017. (Persian)
  26. Ministry of Health and Medical Education of Iran. Unit summary sheet for psychiatry patients; 2017. (Persian)
  27. Ministry of Health and Medical Education of Iran. Medical history sheet for psychiatry patients; 2017. (Persian)
  28. Center for Medicare and Medicaid Services. Psychiatric unit criteria work sheet. [cited 2019]. Available from: https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/downloads/cms437.pdf
  29. Lawshe CH. A quantitative approach to content validity. Pers Psychol 1975; 28(4): 563-75.
  30. Zamanzadeh V, Ghahramanian A, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar AR. Design and implementation content validity study: Development of an instrument for measuring patient-centered communication. J Caring Sci 2015; 4(2): 165-78.
  31. Marty S, Jaeger M, Moetteli S, Theodoridou A, Seifritz E, Hotzy F. Characteristics of pychiatric emergency situations and the decision-making process leading to involuntary admission. Front Psychiatry 2019; 9: 760.
  32. Chennapan K, Mullinax S, Anderson E, Landau MJ, Nordstrom K, Seupaul RA, et al. Medical screening of mental health patients in the emergency department: A systematic review. J Emerg Med 2018; 55(6): 799-812.
  33. Newton AS, Soleimani A, Kirkland SW, Gokiert RJ. A systematic review of instruments to identify mental health and substance use problems among children in the emergency department. Acad Emerg Med 2017; 24(5): 552-68.
  34. Hall RC, Platt DE, Hall RC. Suicide risk assessment: A review of risk factors for suicide in 100 patients who made severe suicide attempts: evaluation of suicide risk in a time of managed care. Psychosom 1999; 40(1): 18-27.
  35. Sudarsanan S, Chaudhury S, Pawar AA, Salujha SK, Srivastava K.Psychiatric emergencies. Med J Armed Forces India 2004; 60(1): 59-62.
  36. Manley MRS. Psychiatric interview, history and mental status exam. In: Sadock BJ, Sadock VA, Ruiz P. (editors). Kaplan and Sadock's comprehensive textbook of psychiatry. 7th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2000: 652-77.
  37. Chunduri S, Browne S, Pollio DE, Hong BA, Roy W, Roaten K, et al. Suicide risk assessment and management in the psychiatry emergency service: Psychiatric provider experience and perceptions. Arch Suicide Res 2019; 23(1): 1-14.
  38. Mahal SK, Chee CB, Lee JC, Nguyen T, Woo BK. Improving the quality of suicide risk assessments in the psychiatric emergency setting: physician documentation of process indicators. J Am Osteopath Assoc 2009; 109(7): 354-8.
Journal of Fundamentals of Mental Health
Volume 24, Issue 4
July and August 2022
Pages 223-230

Files

Share

How to cite

Statistics