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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Redesigning crisis psychiatry: a 30% reduction in length of stay and one-third fewer readmissions in real-world settings

Redesigning crisis psychiatry: a 30% reduction in hospital stay and one-third fewer readmissions in a real-world setting

A structured crisis care pathway reduced length of stay by 28.8% and the 30-day readmission rate by 34.6%.

The study aimed to evaluate the real-world impact of redesigning a structured crisis care pathway on clinical outcomes, including length of stay, 30-day readmission, and continuity of care, as well as service efficiency. A quasi-experimental before-and-after study was conducted at a regional psychiatric hospital, involving 312 patients admitted over two consecutive three-month periods; the intervention was a structured crisis care pathway consisting of rapid triage, psychiatric assessment within the first 24 hours, and standardized discharge planning that included follow-up coordination. The primary outcomes were length of stay (LOS) and the 30-day readmission rate, while secondary outcomes were time to initial assessment and emergency service use; data were analyzed using descriptive and comparative statistics. Following implementation of the pathway, mean length of stay decreased from 18.4 ± 6.2 days to 13.1 ± 5.4 days (a 28.8% reduction, p < 0.01), the 30-day readmission rate fell from 21.7% to 14.2% (a 34.6% reduction), and time to initial assessment declined from 12.6 hours to 5.2 hours (a 58.7% reduction), while psychiatric emergency presentations decreased by 22.5%. The estimated economic impact corresponds to savings of €240–320 per patient and approximately €36,000–48,000 over a three-month period. Redesigning the crisis care pathway significantly improves clinical outcomes and system efficiency; this scalable approach, which reduces length of stay, readmissions, and costs, is particularly relevant to resource-constrained and crisis-affected health systems.

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