OBJECTIVE: To examine routes of admission to @entity146 beds and to identify factors that influence this. DESIGN: Retrospective casenote study. SETTINGS: Acute adult @entity146 wards in South Glasgow. SUBJECTS: One hundred consecutive admissions over a one month period. RESULTS: There were twelve discrete sources of referral. Psychiatrists and Community Psychiatric Nurses (CPNs) together accounted for 32% of referrals and General Practitioners for 25%. Schizophreniform and @entity1316 affected 34% and 31% of the @entity1 respectively whilst 25% of those admitted were deemed to have no major @entity1032 . Twenty-seven percent of @entity1 were admitted to an inappropriate ward because the appropriate ward was full: @entity1314 and drug problems were statistically significantly over represented amongst these "boarders". Over 80% of @entity1 were admitted by the on-call @entity146 SHO rather than by a doctor from their own team. Only 32% of admissions occurred during office hours. Psychiatrists and CPNs were significantly less reliant upon emergency admission procedures than were other referrers. The pathway to admission was independent of @entity1 's sex, diagnosis, legal status, previous contact with services and of ward location. Community-based psychiatrists and CPNs admitted relatively fewer @entity1 with @entity161 than did their hospital-based colleagues. CONCLUSION: @entity1 are referred for admission to acute @entity146 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 @entity1 '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.

Pathways to XXXX admission: a study of 100 consecutive admissions to south Glasgow acute adult @entity146 wards.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity1032 :: ('MESH:D008607', 'Disease') :: ['mental illness'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric'] @entity1316 :: ('MESH:D019964', 'Disease') :: ['mood disorders'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenia'] @entity1314 :: ('MESH:D010554', 'Disease') :: ['personality disorders']
@entity146 :: (MESH:D001523,Disease) :: ['psychiatric']
