European Psychiatry - Volume 33 - March 2016

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S702 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
effects and costs of those procedures. The aim of this study is to
determine whether the application of mechanical restraint in psy-
chiatry acute unit is related to a longer stay in hospital.
Material and methods We reviewed retrospectively the infor-
matics record of all the mechanical restraints made and the total
discharges of the three acute care units and dual disorders of our
institution, between 2012 and 2015. For every discharge, the pres-
ence of at least one mechanical restraint was coded, resulting in
two groups. The length of stay of the groups was then compared
performing a t -test.
Results The number of discharges analyzedwas 4659 fromwhich
838 had an episode of mechanical restraint associated. There are
significant differences between the length of stay of admissions
with and without episode of mechanical restraint. The episode of
mechanical restraint during an admission is associated with 5 to 9
more days of stay in the unit (P < 0.001).
Conclusions The performance of a mechanical restraint is associ-
ated with a statistically significant and clinically relevant higher
length of stay. These results suggest that preventing agitation,
and therefore mechanical restraint, would be possible to decrease
length of stay, and therefore costs related to hospitalization.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1106
Predictors and rate for one-year
inpatient readmission in the
psychiatric hospital of Sarajevo
Canton
F. Kovac∗, M. Ahmic , P. Bilalovic , M. Tahirovic
Psychiatric Hospital of Canton Sarajevo, General, Sarajevo, Bosnia
and Herzegovina
∗ Corresponding author.
Introduction Number of patients who are again unexpectedly
admitted to hospital after a previous hospitalization are used to
evaluating the quality of hospital care. Readmission can be repre-
sented by the total number and by readmission rate.
Objective Understanding the risk factors that can lead to read-
mission is a factor for the development of interventions that can
improve the quality of care.
Aims The purpose of this study was to examine number and pre-
dictors of psychiatric readmission within 14 days, 30 days and, 3
and 6months.
Methods In this retrospective study, analyses were conducted in
a sample of 566 discharge adult patients who were admitted to a
Psychiatric Hospital of Sarajevo Canton from 1st January to 31st
December 2013.
Result Total number of readmission was 14%. The readmission
rate within 30 days was 2.8%, number of readmission quarterly
was 9.1%, number of readmission within 6months after discharge
was 13%.
In the study, several factors were significantly associated with
increased risk of readmission including non-compliance with drug
treatment, social problems, aggressiveness, suicidality.
Conclusion Our study suggesting that the prevention of psychi-
atric readmission requires continuous multidisciplinary work with
patients and family members.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1107
Applying DMAIC to study the
improvement of therapeutics for
schizophrenia patients
C. Wei Ting ∗, C. Pao-Tiao , W. Chien-Shu , L. Wne-Hui
1 Zuoying Branch of Kaohsiung Armed Forces General Hospital,
psychiatry, Kaohsiung, Taiwan
2 National University of Kaohsiung, Department of Asia-Pacific
Industrial and Business Management, Kaohsiung, Taiwan
3 Zuoying Branch of Kaohsiung Armed Forces General Hospital,
Nursing Department, Kaohsiung, Taiwan
∗ Corresponding author.
This study is intended to be schizophrenia patients in chroinc
ward of one southern military hospital. We had based on problem-
solving and improvement steps to investigate personal and social
function and improve quality of sleep in schizophrenia patients
before and after rehabilitation treatment in according with DMAIC.
DMAIC is a systematic approach to problem-solving steps and qual-
ity improvement, which D represents definitions (Define), M on
behalf of measure (Measure), A representative of analysis (Ana-
lyze), I on behalf improve (Improve), C representing the control
(Control). In this study, first psychiatric professionals completed
their PSP in order to identify the severity of psychiatric symp-
toms in patients. Secondly, we proposed patients in treatment
self-administered approach to PSQI to measure and analyze the
quality of sleep. In this paper, the subjects respectively accom-
plished above two assessment scales after theywere included in the
study and fourth, eight weeks later. Finally, according to problem-
solving and improvement steps of DMAIC, we further proposed
improvement and solutions of treatment process in chronic psychi-
atric ward to achieve personal and social function and sleep quality
in schizophrenia after series of rehabilitation therapy.
Our study found that sleep quality of most schizophrenia in chronic
ward is poor, and often occurs in daytime dysfunction. We should
increase gradually the amount of schizophrenia inpatient’s physi-
cal activity (physical fitness activities, recreation therapy, etc.), and
suggest that these patients still need continuous medication and
other psychiatric rehabilitation therapy to maintain personal and
social function and improve the quality of sleep
Fig. 1
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.