Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-23T09:01:41.881Z Has data issue: false hasContentIssue false

The quality of computerised tomography use in two psychogeriatric services

Published online by Cambridge University Press:  02 January 2018

Jon Spear*
Affiliation:
St Nicholas Hospital, Gosforth, Newcastle upon Tyne NE3 3XT
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

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.

Type
Audit
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists 1993

References

Bradshaw, I. R., Thomson, J. L. & Campbell, M. J. (1983) Computed tomography in the investigation of demetia. British Medical Journal, 286, 277280.Google Scholar
Department of Health (1989) Medical Audit. Working for Patients. Working paper 6. London: HMSO.Google Scholar
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.Google Scholar
Maxwell, R. J. (1984) Quality assessment in health. British Medical Journal, 288, 14701472.Google Scholar
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.Google Scholar
Weinberger, D. R. (1984) Brain disease and psychiatric illness: when should a psychiatrist order a CAT Scan. American Journal of Psychiatry, 141, 15211527.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.