2014
DOI: 10.1136/bmjopen-2014-005176
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Protocol for an exploration of knowledge sharing for improved discharge from a mental health ward

Abstract: IntroductionStrategies to reduce hospital admissions for mental health service users have received vast amounts of attention, yet the transfer of care from hospital to the community has been ignored. The discharge process is complex, messy, disjointed and inefficient, relying on cross-agency and organisational working. Focusing on one acute mental health admission ward, we will investigate whether the discharge process for people with severe mental health problems can be enhanced through the creation, implemen… Show more

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Cited by 16 publications
(18 citation statements)
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“…Such concerns would seem to call for a multiple‐agency response involving new ways of working across service boundaries, including those between community and inpatient mental health services. This might encompass the use of electronic records and/or knowledge‐sharing pro formas as currently being tested in one mental health trust's adult care services (Rowley et al ., ) and the introduction of common management arrangements, staff rotation, integrated training and (in some cases) co‐location (Naylor and Bell, ). Further, the identified variation between sites again highlights the importance of understanding the local context (Glasby et al ., ; National Institute for Health and Care Excellence, ).…”
Section: Discussionmentioning
confidence: 99%
“…Such concerns would seem to call for a multiple‐agency response involving new ways of working across service boundaries, including those between community and inpatient mental health services. This might encompass the use of electronic records and/or knowledge‐sharing pro formas as currently being tested in one mental health trust's adult care services (Rowley et al ., ) and the introduction of common management arrangements, staff rotation, integrated training and (in some cases) co‐location (Naylor and Bell, ). Further, the identified variation between sites again highlights the importance of understanding the local context (Glasby et al ., ; National Institute for Health and Care Excellence, ).…”
Section: Discussionmentioning
confidence: 99%
“…In the UK National Health System (NHS), many mental health trusts have adopted functional splits to inpatient and outpatient care, whereby different services lead care and treatment with an individual in different phases of the care pathway (9), which has arguably led to operational silos. Beyond this, patients are often discharged to different services depending on their individual needs; some may be discharged to an NHS service while others may need different social care services according to their needs.…”
Section: Introductionmentioning
confidence: 99%
“…Researchers generally agree that if interagency communication and knowledge sharing were improved, adverse outcomes could be reduced (2,5,8,9). The National Confidential Inquiry into suicide and self-harm recommends creating safer wards and early follow-up to reduce suicide following mental health inpatient admissions (2).…”
Section: Introductionmentioning
confidence: 99%
“…The period following hospital discharge can be one of uncertainty for patients. Critical information about medications, monitoring one's health, and when to seek emergency care is often omitted during discharge [1][2][3]. The information that is communicated is often uses language that is beyond the literacy level of the patient or their primary caregiver, further exacerbating their comprehension, fatigue and memory during hospital discharge [4][5][6].…”
Section: Introductionmentioning
confidence: 99%
“…acute care, rehabilitation, surgery, etc.) and based on collaborators' recommendations, developers structured PODS to communicate five pieces of health-related information: (1) when to take medications, (2) possible symptoms and what to do if they arise, (3) changes to routine and their duration, (4) future appointments and contact information, and (5) additional resources for information [10]. Developers sought to maximize patients' comprehension of this information by keeping language at a fifth-or sixth-grade level, including images, and providing patients with space to take notes.…”
Section: Introductionmentioning
confidence: 99%