Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia

Introduction: Psychiatric emergency is a clinical condition where prompt psychiatric attention with psychotherapeutic intervention is necessary to facilitate a recovery and prevent permanent harm. Modern Psychiatric Emergency Service is now applying highly complex and comprehensive set of interventi...

Full description

Bibliographic Details
Main Authors:	Mohamad Ismail, Maung Ko @ Hajee, Akter, Seikh Farid Uddin, Htwe, Ohnmar, Musa, Ramli, Abu Bakar, Ahmad Zafri, Ko, Ba Min
Format:	Article
Language:	English
Published:	Japan International Cultural Exchange Foundation (JICEF) 2013
Subjects:	R Medicine (General) RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Online Access:	http://irep.iium.edu.my/36736/ http://irep.iium.edu.my/36736/1/36736.pdf

id	iium-36736
recordtype	eprints
spelling	iium-367362015-01-30T08:10:34Z http://irep.iium.edu.my/36736/ Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia Mohamad Ismail, Maung Ko @ Hajee Akter, Seikh Farid Uddin Htwe, Ohnmar Musa, Ramli Abu Bakar, Ahmad Zafri Ko, Ba Min R Medicine (General) RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Introduction: Psychiatric emergency is a clinical condition where prompt psychiatric attention with psychotherapeutic intervention is necessary to facilitate a recovery and prevent permanent harm. Modern Psychiatric Emergency Service is now applying highly complex and comprehensive set of interventions and treatment models in psychiatric centers. Many patients discharged from chronic hospital into the community had relapse of symptoms. The only access to the mental health care of these patients and the patients from under privileged class was through Emergency Departments or Psychiatric Emergency Service. The Emergency Department was over loaded with mental health cases and it is a national crisis in the United States now. Psychiatric emergency assessment is expected to detect acute presenting symptoms of mental illness, psychiatric symptoms of underlying medical conditions and dangerous behaviors to self or others. Accurate diagnosis is crucial for rapid implementation of appropriate initial treatment. Objective: The Objective of our study is to assess the agreement of diagnosis in Emergency Department and Final Discharge diagnoses from the Ward. The reliability of the diagnosis was investigated from the comparison of the diagnoses in Emergency and Final Discharge diagnoses. Methods: It is a retrospective record review study. Medical officers from Psychiatric Ward collected data in data collection form. All first admission cases of 2006 and 2007 were taken. Data analysis was done applying kappa and chi-square statistics excluding chance concordance and over diagnosis. Results: The result of our study did not compare favorably with that of previous studies. Conclusion: The excellent agreement originated from application of uniform criteria, structured interview, descriptive psychopathology, acquiring significant information for diagnoses. Reliable psychiatric diagnoses are possible in the skilled hands. © 2013 Japan International Cultural Exchange Foundation & Japan Health Sciences University. Japan International Cultural Exchange Foundation (JICEF) 2013 Article PeerReviewed application/pdf en http://irep.iium.edu.my/36736/1/36736.pdf Mohamad Ismail, Maung Ko @ Hajee and Akter, Seikh Farid Uddin and Htwe, Ohnmar and Musa, Ramli and Abu Bakar, Ahmad Zafri and Ko, Ba Min (2013) Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia. International Medical Journal, 20 (4). pp. 429-431. ISSN 1341-2051
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General) RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
spellingShingle	R Medicine (General) RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry Mohamad Ismail, Maung Ko @ Hajee Akter, Seikh Farid Uddin Htwe, Ohnmar Musa, Ramli Abu Bakar, Ahmad Zafri Ko, Ba Min Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
description	Introduction: Psychiatric emergency is a clinical condition where prompt psychiatric attention with psychotherapeutic intervention is necessary to facilitate a recovery and prevent permanent harm. Modern Psychiatric Emergency Service is now applying highly complex and comprehensive set of interventions and treatment models in psychiatric centers. Many patients discharged from chronic hospital into the community had relapse of symptoms. The only access to the mental health care of these patients and the patients from under privileged class was through Emergency Departments or Psychiatric Emergency Service. The Emergency Department was over loaded with mental health cases and it is a national crisis in the United States now. Psychiatric emergency assessment is expected to detect acute presenting symptoms of mental illness, psychiatric symptoms of underlying medical conditions and dangerous behaviors to self or others. Accurate diagnosis is crucial for rapid implementation of appropriate initial treatment. Objective: The Objective of our study is to assess the agreement of diagnosis in Emergency Department and Final Discharge diagnoses from the Ward. The reliability of the diagnosis was investigated from the comparison of the diagnoses in Emergency and Final Discharge diagnoses. Methods: It is a retrospective record review study. Medical officers from Psychiatric Ward collected data in data collection form. All first admission cases of 2006 and 2007 were taken. Data analysis was done applying kappa and chi-square statistics excluding chance concordance and over diagnosis. Results: The result of our study did not compare favorably with that of previous studies. Conclusion: The excellent agreement originated from application of uniform criteria, structured interview, descriptive psychopathology, acquiring significant information for diagnoses. Reliable psychiatric diagnoses are possible in the skilled hands. © 2013 Japan International Cultural Exchange Foundation & Japan Health Sciences University.
format	Article
author	Mohamad Ismail, Maung Ko @ Hajee Akter, Seikh Farid Uddin Htwe, Ohnmar Musa, Ramli Abu Bakar, Ahmad Zafri Ko, Ba Min
author_facet	Mohamad Ismail, Maung Ko @ Hajee Akter, Seikh Farid Uddin Htwe, Ohnmar Musa, Ramli Abu Bakar, Ahmad Zafri Ko, Ba Min
author_sort	Mohamad Ismail, Maung Ko @ Hajee
title	Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
title_short	Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
title_full	Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
title_fullStr	Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
title_full_unstemmed	Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia
title_sort	agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, malaysia
publisher	Japan International Cultural Exchange Foundation (JICEF)
publishDate	2013
url	http://irep.iium.edu.my/36736/ http://irep.iium.edu.my/36736/1/36736.pdf
first_indexed	2023-09-18T20:52:40Z
last_indexed	2023-09-18T20:52:40Z
_version_	1777410098778341376

Agreement of diagnosis between admission and emergency department and the final diagnosis on discharge from the psychiatric ward, tertiary hospital, Malaysia

Similar Items