[Incidence of coercive measures as an indicator of quality in psychiatric hospitals. Problems of data recording and processing, preliminary results of a benchmarking study].
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.
Martin
Veronika
V
Zentrum für Psychiatrie Weissenau, Abt. Psychiatrie I der Universität Ulm, Ulm, Germany.
Kuster
Wolfgang
W
Baur
Manfred
M
Bohnet
Ulrich
U
Hermelink
Gottfried
G
Knopp
Martin
M
Kronstorfer
Rita
R
Martinez-Funk
Beate
B
Roser
Martin
M
Voigtländer
Wolfram
W
Brandecker
Rita
R
Steinert
Tilman
T
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
D011619:Psychotropic Drugs