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Biomedical subjects

H Waschulewski

Publications and source records attributed to H Waschulewski.

14 recordsLinked to original sources
PubMed2000

[Does modification of documentation result in a reduction of medication to involuntary patients?].

OBJECTIVE: The effects of modification of documentation on the administration of psychotropic medication to involuntary patients in hospital were investigated. METHODS: The charts of 414 inpatients on the acute-ward were reviewed two months before and two months after a new form for documentation of rationales for medication administration to involuntary patients was instituted. A follow-up was carried out for a two-month period a year later. RESULTS: The percentage of patients who received medication involuntarily, 70% of whom were schizophrenic, fell by over half, from 12% to 5%, after additional standardized documentation for the use of such medications was instituted. The number of medications administered to involuntary patients fell from 80 to 21, a reduction of 74%. The effects were stable over the course of one year. CONCLUSIONS: Modification of documentation seems to reduce the use of medication with involuntary patients.

Acute Disease↗
PubMed1999

[Effects of regional obligatory health care exemplified by a university clinic].

OBJECTIVE: Local care provision for the chronically mentally ill entails responsibility to be taken by all institutions involved in the care system of their respective area. In the clinical sphere regional responsibility is implement-ed to a large extent apart from a few university clinics. The University Psychiatry and Psychotherapy Clinic Tuebingen look after an area with obligatory provision of care consisting of 140,000 inhabitants in 1995. RESULTS: The comparative evaluation of the basic documentation showed minimal overall changes but an increase of older patients, of patients who are frequently hospitalised, and of addicts. The number of emergencies remained unchanged. The concomitant questioning of colleagues indicated delayed acceptance of the change. According to experiences made to date, the conditions for research and teaching have improved in certain areas thanks to the obligatory provision of care.

Adolescent↗
PubMed1998

[Cooperation guidelines--a contribution to the development of process quality in psychiatric community management].

Cooperation in the provision of care to individuals with chronic psychiatric illnesses represents a significant criterion for quality. In the Tuebingen administrative district, guidelines for cooperation in the handover of patients to facilities providing follow-up care and in parallel care of patients have been developed. Elements of the guidelines include handover standards, case conferences and case management. The results of accompanying research are encouraging, while indicating the necessity of continued discussion in the individual facilities and in the relevant authorities: The acceptance of the guidelines is high and they are considered useful in concrete practice, but implementation is sometimes hesitant and the instrument provided for documentation is barely used due to time limitations. Only by means of compulsory basic documentation will it be possible to evaluate the guidelines and secure the criteria for quality on a long-term basis. As with other models, integration of neurologists and psychiatrists in private practice into the cooperation with inpatient and outpatient facilities is a problem that must yet be resolved.

Case Management↗