Health bulletin
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Comparative Study
Pathways to psychiatric admission: a study of 100 consecutive admissions to south Glasgow acute adult psychiatric wards.
To examine routes of admission to psychiatric beds and to identify factors that influence this. ⋯ Patients are referred for admission to acute psychiatric wards from a variety of sources. Most admissions occur outwith office hours. In a large majority of cases the admitting psychiatrist is the on-call SHO, rather than a doctor from the team responsible for the patient's management. Our data suggest that this is not a reflection of the type of cases referred for urgent assessment but rather a failure of certain aspects of service provision.
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The Scottish Trauma Audit Group was established in 1991 to observe and improve the management of seriously injured patients in four Scottish teaching hospitals. There are currently 25 hospitals contributing to the national database. This prospective audit monitors the management of approximately 98% of seriously injured patients in Scotland. ⋯ There was no evidence of a trimodal distribution of death as a result of injury. There has been a significant increase in the survival of seriously injured patients over the last six years from 65.3% to 75.6%. In terms of survival, the management of injured patients in Scotland is significantly better than that of the rest of the UK.