Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/22238
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dc.contributor.authorOtani, Victor-
dc.contributor.authorOtani, Thaís-
dc.contributor.authorFreirias, Andrea-
dc.contributor.authorCalfat, Elie-
dc.contributor.authorAoki, Patricia-
dc.contributor.authorCross, Sean-
dc.contributor.authorSumskis, Susan-
dc.contributor.authorKanaan, Richard A A-
dc.contributor.authorCordeiro, Quirino-
dc.contributor.authorUchida, Ricardo-
dc.date.accessioned2019-12-12T23:08:24Z-
dc.date.available2019-12-12T23:08:24Z-
dc.date.issued2019-12-
dc.identifier.citationThe Journal of nervous and mental disease 2019; 207(12): 1019-1024-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/22238-
dc.description.abstractWe evaluated disagreement between reported symptoms and a final diagnosis of depression, anxiety, withdrawal, psychosis, or delirium through regression models assessing individual and combined diagnoses. Highest disagreement rates were reported for services classified as others (88.2%), general surgery (78.5%), and bone marrow transplant (77.7%). Disagreement rates varied widely across different diagnoses, with anxiety having the highest disagreement rate (63.3%), whereas psychosis had the lowest disagreement rate (10.6%). When evaluating kappa coefficients, the highest agreement occurred with diagnoses of withdrawal and psychosis (0.66% and 0.51%, respectively), whereas anxiety and depression presented the lowest values (0.31% and 0.11%, respectively). The best-performing predictive model for most outcomes was random forest, with the most important predictors being specialties other than the ones focused on single systems, older age, lack of social support, and the requester being a resident. Monitoring disagreement rates and their predictors provides information that could lead to quality improvement and safety programs.-
dc.language.isoeng-
dc.titlePredictors of Disagreement Between Diagnoses From Consult Requesters and Consultation-Liaison Psychiatry.-
dc.typeJournal Article-
dc.identifier.journaltitleThe Journal of nervous and mental disease-
dc.identifier.affiliationDepartment of Psychiatry, Instituto Superior de Medicina, Sao Paulo, Brazilen
dc.identifier.affiliationThe University of Melbourne, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen
dc.identifier.affiliationDepartment of Mental Health, Santa Casa Medical Schoolen
dc.identifier.affiliationMaudsley Simulation, South London & Maudsley Foundation NHS Trust, Lambeth Hospital, London, United Kingdom-
dc.identifier.affiliationSchool of Nursing, Faculty of Science, Medicine, and Health University of Wollongong, Wollongong-
dc.identifier.affiliationDepartment of Mental Health, Santa Casa Medical School-
dc.identifier.doi10.1097/NMD.0000000000001018-
dc.identifier.orcid0000-0003-0992-1917-
dc.identifier.pubmedid31790047-
dc.type.austinJournal Article-
local.name.researcherKanaan, Richard A A
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptPsychiatry (University of Melbourne)-
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