title: [Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study].
abstract: OBJECTIVE
  The clinical practice concerning the use of coercive measures in psychiatry should be compared.
  
  
  METHODS
  A common documentation of physical restraint, seclusion, and medication by coercion was introduced among 10 hospitals.
  
  
  RESULTS
  8.4 % of cases treated within the first 6 months of 2004 were exposed to coercive measures with the highest percentage among patients with psychoorganic disorders (32.1 %). The incidence of coercive measures varied highly between different diagnostic groups and hospitals.
  
  
  CONCLUSIONS
  The processing of the large multi-site data sets yields considerable technical problems. Data interpretation should consider confounding factors such as case mix and hospital structure characteristics.
authors.affiliation: Zentrum für Psychiatrie Weissenau, Abt. Psychiatrie I der Universität Ulm, Ulm, Germany.
authors.forename: Veronika
authors.initials: V
authors.lastname: Martin
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Kuster
authors.forename: Manfred
authors.initials: M
authors.lastname: Baur
authors.forename: Ulrich
authors.initials: U
authors.lastname: Bohnet
authors.forename: Gottfried
authors.initials: G
authors.lastname: Hermelink
authors.forename: Martin
authors.initials: M
authors.lastname: Knopp
authors.forename: Rita
authors.initials: R
authors.lastname: Kronstorfer
authors.forename: Beate
authors.initials: B
authors.lastname: Martinez-Funk
authors.forename: Martin
authors.initials: M
authors.lastname: Roser
authors.forename: Wolfram
authors.initials: W
authors.lastname: Voigtländer
authors.forename: Rita
authors.initials: R
authors.lastname: Brandecker
authors.forename: Tilman
authors.initials: T
authors.lastname: Steinert
mesh_terms: D019985:Benchmarking / Q000592:standards*; D003068:Coercion; D003430:Cross-Sectional Studies; D003625:Data Collection / Q000706:statistics & numerical data*; D003953:Diagnosis-Related Groups / Q000706:statistics & numerical data; D004282:Documentation / Q000706:statistics & numerical data; D005858:Germany; D006778:Hospitals, Psychiatric / Q000592:standards*; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology; D010356:Patient Isolation / Q000706:statistics & numerical data; D011619:Psychotropic Drugs / Q000008:administration & dosage; D011785:Quality Assurance, Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards; D012149:Restraint, Physical / Q000706:statistics & numerical data; D012308:Risk Management / Q000706:statistics & numerical data*; D014754:Violence / Q000517:prevention & control* / Q000523:psychology
chemical_list: D011619:Psychotropic Drugs