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Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison

Overview of attention for article published in International Journal of Mental Health Systems, September 2016
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Title
Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison
Published in
International Journal of Mental Health Systems, September 2016
DOI 10.1186/s13033-016-0090-6
Pubmed ID
Authors

Mohammed Abdullah Al-Sughayir

Abstract

An interest in hospital accreditation is growing rapidly among many countries to enhance the quality of health care services. The literature showed a positive association between accreditation and some processes of health care. One of the main factors that influence bed availability is the length of hospital stay (LOS), which is considered as an important indicator of the quality of inpatient psychiatric hospitalization. We aimed to investigate whether hospital accreditation drives improvements for the length of stay in psychiatric inpatients. The study reviewed medical records of consecutive hospital admissions for pre- and post-accreditation comparisons of LOS in two acute mental health wards at a teaching general hospital in Riyadh, Saudi Arabia. Data obtained from the 12-month-post-accreditation period (July 2011 to June 2012) were compared with those from the 12-month-pre-accreditation period (July 2009 to June 2010). The adoption of accreditation program occurred over a 12-month period in the middle of the study (July 2010 to June 2011). Compiled information included demographics, diagnosis, assessment, and LOS. All identified charts were reviewed; there were no exclusion criteria. Patients were not contacted. Post-accreditation, the mean (SD) length of stay was 35.3 ± 18.5 days and the range was 3-113 days. Whereas in the pre-accreditation period the mean (SD) length of stay was 41.1 ± 29.5 days and the range was 1-167 days. The difference was statistically significant (P = 0.026). Accreditation reduces excess LOS and contributes to improving the quality of psychiatric inpatient care and access to psychiatric beds.

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The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 2%
Unknown 48 98%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 7 14%
Student > Master 6 12%
Other 4 8%
Student > Doctoral Student 3 6%
Lecturer 2 4%
Other 8 16%
Unknown 19 39%
Readers by discipline Count As %
Psychology 6 12%
Medicine and Dentistry 6 12%
Nursing and Health Professions 5 10%
Neuroscience 3 6%
Business, Management and Accounting 2 4%
Other 7 14%
Unknown 20 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 September 2016.
All research outputs
#7,487,737
of 22,888,307 outputs
Outputs from International Journal of Mental Health Systems
#416
of 718 outputs
Outputs of similar age
#117,632
of 334,966 outputs
Outputs of similar age from International Journal of Mental Health Systems
#8
of 17 outputs
Altmetric has tracked 22,888,307 research outputs across all sources so far. This one is in the 44th percentile – i.e., 44% of other outputs scored the same or lower than it.
So far Altmetric has tracked 718 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 334,966 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 17 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 52% of its contemporaries.