title: Improving quality of care among patients hospitalised with schizophrenia: a nationwide initiative.
abstract: BACKGROUND
  The effectiveness of systematic quality improvement initiatives in psychiatric care remains unclear.
  
  
  OBJECTIVE
  To examine whether quality of care has changed following implementation of a systematic monitoring programme of hospital performance measures.
  
  
  METHODS
  In a nationwide population-based cohort study, we identified 14 228 patients admitted to psychiatric departments between 2004 and 2011 from The Danish Schizophrenia Registry. The registry systematically monitors the adherence to guideline recommended processes of care.
  
  
  RESULTS
  The overall proportion of all relevant recommended processes of care increased from 64 to 76% between 2004 and 2011. The adherence to individual processes of care increased over time, including assessment of psychopathology using a diagnostic interview (relative risk (RR): 2.01, 95% CI: 1.51-2.68), contact with relatives (RR: 1.44, 95% CI: 1.27-1.62), psychoeducation (RR: 1.33, 95% CI: 1.19-1.48), psychiatric aftercare (RR: 1.06, 95% CI: 1.01-1.11) and suicide risk assessment (RR: 1.31, 95% CI: 1.21-1.42).
  
  
  CONCLUSIONS
  Quality of care improved from 2004 to 2011 among patients hospitalised with schizophrenia in Denmark.
  
  
  BACKGROUND
  None.
  © The Royal College of Psychiatrists 2015. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence.
authors.affiliation: , MHSc.
authors.forename: Mette
authors.initials: M
authors.lastname: Jørgensen
authors.affiliation: , MD, PhD, Aalborg University Hospital, Psychiatry, Aalborg, Denmark.
authors.forename: Jan
authors.initials: J
authors.lastname: Mainz
authors.affiliation: , MHSc, PhD, Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
authors.forename: Marie Louise
authors.initials: ML
authors.lastname: Svendsen
authors.affiliation: , MD, PhD, Psychiatric Centre Copenhagen, University of Copenhagen, Faculty of Health Sciences, Copenhagen, Denmark.
authors.forename: Merete
authors.initials: M
authors.lastname: Nordentoft
authors.affiliation: , Chief nurse, RN, MNSc, MPG, Psychosis Ward, Section P. Aarhus University Hospital, Risskov, Denmark.
authors.forename: Inge
authors.initials: I
authors.lastname: Voldsgaard
authors.affiliation: , MD, PhD, Center for Neuropsychiatric Schizophrenia Research, Mental Health Center Glostrup, University of Copenhagen, Faculty of Health Sciences, Copenhagen, Denmark.
authors.forename: Lone
authors.initials: L
authors.lastname: Baandrup
authors.affiliation: , Medical Director, Danish Clinical Registries, Aarhus N, Denmark.
authors.forename: Paul
authors.initials: P
authors.lastname: Bartels
authors.affiliation: , MD, PhD, Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
authors.forename: Søren Paaske
authors.initials: SP
authors.lastname: Johnsen