{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T22:04:58Z","timestamp":1784239498323,"version":"3.55.0"},"reference-count":7,"publisher":"AACN Publishing","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,15]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiovascular disease is linked to mental health conditions. Patients with cardiovascular disease and comorbid psychiatric illnesses such as major depressive disorder or generalized anxiety disorder often experience greater physical limitations and decreased overall health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine if proactive psychiatric interventions improve staff satisfaction and patient outcomes, such as reducing length of stay and decreasing the 30-day readmission rate, for patients hospitalized on cardiac units with psychiatric comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The implementation of a proactive psychiatric consultation-liaison service, which included proactive screening of psychiatric needs among patients hospitalized on cardiac units, targeted support for cardiovascular staff, and supportive interactions for patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Comparison between preintervention and postintervention periods indicated a 21% reduction in the 30-day readmission rate for patients hospitalized on cardiac inpatient units with psychiatric comorbidities without adversely affecting hospital length of stay. Staff satisfaction significantly increased with the availability of psychiatric resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The implementation of a multi-disciplinary proactive psychiatric consultation-liaison service on inpatient cardiac units was associated with an increase in cardiovascular staff satisfaction with psychiatric services and a decrease in the 30-day readmission rate of patients with psychiatric comorbidities who were hospitalized for cardiovascular services without significantly affecting length of stay.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4037\/aacnacc2026437","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T17:11:02Z","timestamp":1772212262000},"page":"70-75","source":"Crossref","is-referenced-by-count":0,"title":["Implementation of Proactive Psychiatric Consultation With Cardiology Inpatients"],"prefix":"10.4037","volume":"37","author":[{"given":"Melissa","family":"Otte","sequence":"first","affiliation":[{"name":"Melissa Otte is Clinical Resource Nurse, Adult Acute Psychiatry and Consultation-Liaison Nursing, and Instructor of Nursing, Mayo Clinic, 1216\u20092nd St SW, Rochester, MN 55902 (otte.melissa@mayo.edu)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Suarez","family":"Pardo","sequence":"additional","affiliation":[{"name":"Laura Suarez Pardo is Assistant Professor of Psychiatry, Consultation-Liaison Psychiatry and Psychocardiology, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Kinstler","sequence":"additional","affiliation":[{"name":"Daniel Kinstler is Nurse Manager, Adult Acute Psychiatry and Consultation-Liaison Nursing, Mayo Clinic, Rochester, Minnesota."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey P.","family":"Staab","sequence":"additional","affiliation":[{"name":"Jeffrey P. Staab is Professor and Chair, Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2471","reference":[{"issue":"9","key":"2026071616272266200_b1-0370070","doi-asserted-by":"publisher","first-page":"4234","DOI":"10.1038\/s41380-025-03003-2","article-title":"Cardiovascular diseases and depression: s meta-analysis and Mendelian randomization analysis","volume":"30","author":"Zeng","year":"2025","journal-title":"Mol Psychiatry"},{"issue":"2","key":"2026071616272266200_b2-0370070","doi-asserted-by":"publisher","first-page":"e54402","DOI":"10.7759\/cureus.54402","article-title":"Understanding mental health challenges in cardiovascular care","volume":"16","author":"Borkowski","year":"2024","journal-title":"Cureus"},{"issue":"6","key":"2026071616272266200_b3-0370070","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1177\/08850666231218963","article-title":"Impact of preexisting depression and anxiety on hospital readmission and long-term survival after cardiac arrest","volume":"39","author":"Coppler","year":"2024","journal-title":"J Intensive Care Med"},{"issue":"2","key":"2026071616272266200_b4-0370070","doi-asserted-by":"publisher","first-page":"44","DOI":"10.36401\/JQSH-22-X2","article-title":"Define, measure, analyze, improve, control (DMAIC) methodology as a roadmap in quality improvement","volume":"5","author":"Monday","year":"2022","journal-title":"Glob J Qual Saf Healthc"},{"issue":"2","key":"2026071616272266200_b5-0370070","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1016\/j.jaclp.2021.01.005","article-title":"Proactive consultation-liaison psychiatry: American Psychiatric Association resource document","volume":"62","author":"Oldham","year":"2021","journal-title":"J Acad Consult Liaison Psychiatry"},{"key":"2026071616272266200_b6-0370070","doi-asserted-by":"crossref","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"2013","edition":"5th"},{"key":"2026071616272266200_b7-0370070","doi-asserted-by":"publisher","first-page":"808904","DOI":"10.3389\/fpsyt.2022.808904","article-title":"Unraveling the complexity of cardiac distress: a study of prevalence and severity","volume":"13","author":"Jackson","year":"2022","journal-title":"Front Psychiatry"}],"container-title":["AACN Advanced Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aacnjournals.org\/aacnacconline\/article-pdf\/37\/1\/70\/169271\/70.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/aacnjournals.org\/aacnacconline\/article-pdf\/37\/1\/70\/169271\/70.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T21:41:20Z","timestamp":1784238080000},"score":1,"resource":{"primary":{"URL":"https:\/\/aacnjournals.org\/aacnacconline\/article\/37\/1\/70\/32970\/Implementation-of-Proactive-Psychiatric"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,15]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3,15]]}},"URL":"https:\/\/doi.org\/10.4037\/aacnacc2026437","relation":{},"ISSN":["1559-7768","1559-7776"],"issn-type":[{"value":"1559-7768","type":"print"},{"value":"1559-7776","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,15]]}}}