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The quality of computerised tomography use in two psychogeriatric services

  • Jon Spear (a1)
Extract

The aim of medical audit is to improve the quality of medical care (Department of Health, 1989). There was concern that patients referred to a psychogeriatric service (Service X) did not have adequate access to computerised tomography. The nearest computerised tomography scanner was located in a neighbouring district and direct referrals were not accepted. Computerised tomography scans could be obtained indirectly by referral to neurosurgeons. Because of these difficulties “potentially treatable structural lesions” (such as cerebral tumours and subdural haematomas) may have been missed. We decided to compare the use of computerised tomography scans with a nearby service (Service Y) which had a computerised tomography scanner on site. Service X had a catchment population of 33,000 aged over 65 and Service Y a catchment population of 23,420 aged over 65.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Bradshaw, I. R., Thomson, J. L. & Campbell, M. J. (1983) Computed tomography in the investigation of demetia. British Medical Journal, 286, 277280.
Department of Health (1989) Medical Audit. Working for Patients. Working paper 6. London: HMSO.
Larson, E. B., Mack, A. M., Watts, B. & Cromwell, L. (1981) Computed tomography in patients with psychiatric illnesses: Advantages of a ‘Rule-In’ Approach. Annals of Internal Medicine, 95, 360364.
Maxwell, R. J. (1984) Quality assessment in health. British Medical Journal, 288, 14701472.
Roberts, M. A. & Caird, F. I. (1990) The contribution of computerised tomography to the differential diagnosis of confusion in elderly patients. Age and Ageing, 19, 5056.
Weinberger, D. R. (1984) Brain disease and psychiatric illness: when should a psychiatrist order a CAT Scan. American Journal of Psychiatry, 141, 15211527.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The quality of computerised tomography use in two psychogeriatric services

  • Jon Spear (a1)
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