Psychiatrienet.nl

een onafhankelijke selectie van de belangrijkste sites door psychiaters

Mental disorders due to medical conditions and adverse events

This portal is intended for mental health and primary care clinicians who attend patients with psychiatric and substance abuse disorders.

Colofon


Adverse events & unintended damagetop

Introduction: an AE portal

In this section of the portal the editors will make information available, associated with prevention and assessment of adverse events (AE) & unintended damage due to (para)medical action in mental health. The initiative derives from research projects undertaken in the Netherlands since 2004, aimed at the development of criteria to define preventable adverse events (Reported in M.C. de Bruijne et al. 2007. Onbedoelde schade in Nederlandse ziekenhuizen. www.nivel.nl). We will provide documentation related to an ongoing research (Trimbos Institute &  NIVEL) in 2009 in Dutch Mental Helathcare (GGz). Editing is by H.A.P.C.Oomen (project adviser to the Trimbos-NIVEL researchers). Contributions are welcome to oomen@xs4all.nl

The 'Medical Conditions' category are replaced by 'triggers' which are 'sentinel events' to unintended damage, known from previous research. The triggers have been chosen in a consent procedure by a panel of experts and rely on the evidence of international literature and the Dutch study results quoted. We aim at a translation and comparison with other European sources in this section. What defines adverse event in this context is the presence of three elements together: (1) the adverse (unwanted) event is an injury (either/both physical/mental), (2) leading to  temporary / permanent damaged health, or prolongation of hospital stay, or death, (3) caused by the care provider and/or system.

In the research we use for reference (retrospective case-studies) the triggers, in mental hospital care, used for screening dossiers on the possibility of AE's, were: 1. A preceding (6 months) hospital admission related to the one presently studied (index-period) 2. A succeeding (6 months) hospital admission related to the one presently studied (index-period) 3. A temporary / permanent damaged health (other than the cause for admission) acquired during the index-period 4. Injury caused by the (para)medical role in medication (prescription, technique) 5. Injury caused by the patient role in medication (compliance, technique) 6. Unintended response to medication 7. Damaging or risky combination of medication 8. Injury related to electroconvulsive treatment (ECT) 9. Restrictive measures during index-period (forced separation, physical restriction) 10. Finding a new somatic health condition or unexpecte deterioration during the index-period etc. (More to follow; 22 triggers in all, the 23d being 'all other unintended unwanted).

We will use the trigger categories as sub-heads for items (links, publications, guidelines) of interest in European Mental Health Care.


Autoimmune disorderstop

Autoimmune disease is a collection of disorders, and their connection to psychological manifestations is complicated. Because there are lifelong lapses in the autoimmune system, there are many relationships. This basic article about gluten sensitivity syndrome is a good introduction to this complexity.


Autoimmune disease - Lupus erythematosus and overlap syndromestop


Endocrine disorderstop


Neurologic disorderstop


Infectious diseasestop


Infectious diseases - HIVtop


Infectious diseases - Lyme disease (Borreliosis)top


Infectious diseases - Neurosyphilistop


Liver diseasetop


Kidney diseasetop


Textbookstop

  • Neuropsychiatry and Behavioural Neurology Explained

    Mitchell, Dr. A.J. Neuropsychiatry and Behavioural Neurology Explained. Diseases, Diagnosis, and Management. Saunders (Harcourt International / Elsevier Science) 2004. ISBN 0702026883.

  • Organic Psychiatry 3E

    Lishman, W.A. Organic Psychiatry 3E. The Psychological Consequences of Cerebral Disorder. Third Edition. Blackwell Publishing 1998. ISBN 0865428204.
    Classic textbook on the subject.

  • Psychiatric Care of the Medical Patient

    Stoudemire, A. Fogel, B.S. & Greenberg, D. (eds.) Psychiatric Care of the Medical Patient, Second Edition. Oxford University Press 2000. ISBN 0-19-512452-9.
    Textbook aimed at the practitioner.

  • Textbook of Consultation-Liaison Psychiatry

    Wise, M.G. & Rundell, J.R. (eds.) The American Psychiatric Publishing Textbook of Consultation-Liaison Psychiatry: Psychiatry in the Medically Ill, Second Edition. American Psychiatric Press, Washington 2002. ISBN 0-88048-393-8.

  • Textbook of Neuropsychiatry and Clinical Neurosciences

    Yudofsky, S.C. & Hales, R.E. (eds.) The American Psychiatric Publishing Textbook of Neuropsychiatry and Clinical Neurosciences, Fourth Edition. American Psychiatric Press, Washington 2002. ISBN 1-58562-004-1.
    Follows the DSM-IV.


Historytop

  • Chronic fatigue syndrome

    Editorial (2000). Illness or disease? The case of chronic fatigue syndrome. Medical Journal of Australia, 172, 471-472.
    Emergence of a modern syndrome.

  • Neuroendocrinology (Clinical review)

    Herbert, J. (1997). Stress, the brain, and mental illness. British Medical Journal, 315, 530-535.

  • Neurosyphilis

    Ritchie, M.A. & Perdigao, J.A. Neurosyphilis: Considerations for a Psychiatrist. Psychiatry On Line.
    Emergence of an emblematic historic syndrome.

  • Postpsychiatry (Review)

    Bracken, P. & Thomas, P. (2001). Postpsychiatry: a new direction for mental health. British Medical Journal, 322, 724-727.


Resources for training presentationstop


Online courses and presentationstop


Online journalstop


Theory & diagnostic classificationtop

  • ICD10

    World Health Organization (WHO) ICD-10: The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Gaskell publications (Royal College of Psychiatrists) 1992. ISBN: 9241544228.

  • Mental Help Net

    Provides a broad vision of the psychological versus the somatic.

  • Psychiatry On Line: ICD10 Codes

    The ICD classification.

  • Textbook of Psychiatry: Chapter 6 Organic psychiatry

    Includes an important chapter (PDF) from: Puri, B., Laking, P. & Treasaden, I. Textbook of Psychiatry, 2nd Edition. Churchill Livingstone (Harcourt International / Elsevier Science) 2002. ISBN 0443070164.


View-on-the-arttop

  • No Health without Mental Health

    What can psychiatrists do about it? An introduction to a series of articles on the impact of psychiatry on general health issues.