Implementation of Proactive Psychiatric Consultation With Cardiology Inpatients.
Background: Cardiovascular disease is linked to mental health conditions. Patients with cardiovascular disease and comorbid psychiatric illnesses such as major depressive disorder or generalized anxiety disorder often experience greater physical limitations and decreased overall health. Objective: T...
| Publicado en: | AACN Advanced Critical Care Vol. 37; no. 1; pp. 70 - 76 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
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American Association of Critical-Care Nurses
Spring2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=191992023&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191992023 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15597768 26ZY jtl: AACN Advanced Critical Care issn: 15597768 maglogo: N pubinfo: dt: Spring2026 vid: 37 iid: 1 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 191992023 191992023 191992023 10.4037/aacnacc2026437 191992023 ppf: 70 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation of Proactive Psychiatric Consultation With Cardiology Inpatients. aug: au: Otte, Melissa Pardo, Laura Suarez Kinstler, Daniel Staab, Jeffrey P. affil: Melissa Otte is Clinical Resource Nurse, Adult Acute Psychiatry and Consultation-Liaison Nursing, and Instructor of Nursing, Mayo Clinic, 1216 2nd St SW, Rochester, MN 55902 sug: subj: Psychiatry Referral and Consultation Cardiac Patients Coronary Care Units Mental Disorders Therapy Comorbidity Personnel, Health Facility Job Satisfaction Evaluation Treatment Outcomes Program Implementation Human Inpatients Mental Health Cardiovascular Diseases Length of Stay Readmission Hospital Programs Patient Satisfaction Pretest-Posttest Design Academic Medical Centers Midwestern United States Attitude of Health Personnel Patient Attitudes DSM Psychoeducation Descriptive Statistics Wilcoxon Rank Sum Test Data Analysis Software Comparative Studies Confidence Intervals ab: Background: Cardiovascular disease is linked to mental health conditions. Patients with cardiovascular disease and comorbid psychiatric illnesses such as major depressive disorder or generalized anxiety disorder often experience greater physical limitations and decreased overall health. Objective: To determine if proactive psychiatric interventions improve staff satisfaction and patient outcomes, such as reducing length of stay and decreasing the 30-day readmission rate, for patients hospitalized on cardiac units with psychiatric comorbidities. Methods: The implementation of a proactive psychiatric consultation-liaison service, which included proactive screening of psychiatric needs among patients hospitalized on cardiac units, targeted support for cardiovascular staff, and supportive interactions for patients. Results: Comparison between preintervention and postintervention periods indicated a 21% reduction in the 30-day readmission rate for patients hospitalized on cardiac inpatient units with psychiatric comorbidities without adversely affecting hospital length of stay. Staff satisfaction significantly increased with the availability of psychiatric resources. Conclusion: The implementation of a multi-disciplinary proactive psychiatric consultation-liaison service on inpatient cardiac units was associated with an increase in cardiovascular staff satisfaction with psychiatric services and a decrease in the 30-day readmission rate of patients with psychiatric comorbidities who were hospitalized for cardiovascular services without significantly affecting length of stay. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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