Hospitals and psychiatric institutions
themselves or others are documented. This current data can be accessed
through the hospital information system.
In Styria, electronic recording of data in accordance with the Hospitalisation
Act has been possible in the patient administration system, “open Medocs”, for
some time in Graz Süd-West/Standort Süd Regional Hospital and in University
Hospital Graz. The starting time and end as well as the type of restriction to
movement are documented in this system. There is a current overview of the
restrained patients in each department, which can be also invoked at a later
date. The relevant electronic documentation is also maintained in the hospital
information system of the Hospital of St. John of God in Graz.
Styria
In the psychiatric hospitals and departments of the Vienna Health Association
(Wiener Gesundheitsverbund), the current data on measures that restrict
freedom that have to be recorded by law are documented electronically daily.
Since February 2019, steps have been taken to facilitate evaluation of this
data. All psychiatric departments should have been able to access current
electronic documentation since 10 March 2020.
Vienna
Information on the installation status of the electronic documentation of
measures that restrict freedom in Salzburg was not available at the time of
editing this report.
Salzburg
In conclusion, the existing data on the measures that restrict freedom which
have been set in the Laender is not centrally recorded and evaluated. Valid
statements on differences are thus not possible. The argument used by Vienna
and Styria for refusing to set up central registers for measures that restrict
freedom is that Section 38d of the Hospital and Convalescent Homes Act
merely stipulates that psychiatric hospitals and psychiatric departments shall
maintain electronic documentation. This line of argument fails to convince
the NPM however, because statistical analysis while observing data protection
rules should only be possible in an anonymised form anyway. Within the
framework of a nationwide statistical data collecting exercise, measures that
restrict freedom should be recorded and compared in relation to the number of
patients over a longer period of time in order to be able to identify unjustifiable
differences in the practice of individual hospitals and take preventive action.
No cetralised recording
and evaluation of data
X
The provisions of Section 38d (2) of the Hospital and Convalescent Homes Act on the
current recording of measures that restrict freedom in electronic documentation systems
shall be implemented nationwide.
X
The recorded data should be accessible by the Laender in anonymised form in a
centralised evaluation.
48
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