Psychiatric presentations are common in the emergency department (ED), and determining whether or not a psychiatric presentation is due to medical illness can be a difficult task for the emergency physician. The investigators define "serious medical illness" (SMI) as a pathological condition that would necessitate inpatient treatment on a medical or surgical ward. It is important for patient safety that SMI be triaged by the emergency physician to the appropriate inpatient service. The rate of missed SMI in patients with psychiatric presentations to the ED is unknown. The investigators will research missed SMI in patients referred to adult psychiatry from the ED, with the intent to improve patient safety.
Study Type
OBSERVATIONAL
Enrollment
800
Number of patients admitted to a medical / surgical service within 7 days of psychiatry referral in the emergency department
Time frame: Approximately 8 months
Medical / surgical admission diagnosis
This will be extracted from the electronic medial record.
Time frame: Approximately 8 months
Number of days after psychiatric referral that patient is admitted to medical / surgical service
Time frame: Approximately 8 months
Proportion of patients discharged home from the emergency department by psychiatry following referral by the emergency physician
Time frame: Approximately 8 months
Risk factors associated with medical / surgical admission after initial psychiatry referral
The investigators will be extracting variables from the patient's chart including triage vital signs, past medical and psychiatric history, initial laboratory bloodwork, and determining if any of these are risk factors for subsequent medical / surgical admission.
Time frame: Approximately 8 months
Number of admissions to medical / surgical service within 30 days of discharge from psychiatry
Time frame: Approximately 8 months
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