Document Detail


POMHS 9b - antipsychotic prescribing in people with a learning disability.
MedLine Citation:
PMID:  21894103     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Prescribing Observatory for Mental Health (POMH-UK) runs national audit-based quality improvement programmes open to all specialist mental health services in the UK to help improve prescribing practice in discrete areas.
AIMS: The baseline sample and this re-audit represent the largest audits of antipsychotic prescribing in PWLD that have been conducted to date; and thus provide the most generalisable picture of such prescribing nationally.
METHODOLOGY: A case note audit of use of antipsychotic medication in PWLD was conducted using standard data collection tool provided by POMH-UK. Trust wide, 7 clinical teams in Essex and Bedfordshire & Luton, participated in the re-audit. Analysis and benchmarking was conducted centrally by POMH-UK and an individualised Trust report was compiled by POMH-UK for local review and consideration.
STANDARDS: The indication for treatment with antipsychotic medication should be documented in the clinical records (Deb 2006). The continuing need for antipsychotic medication should be reviewed at least once a year (Deb 2006). Side effects of antipsychotic medication should be reviewed at least once a year. This review should include assessment for the presence of extrapyramidal side effects (EPS), and screening for the 4 aspects of the metabolic syndrome: obesity, hypertension, impaired glucose tolerance and dyslipidaemia (NICE schizophrenia guideline update CG82, 2009).
FINDINGS: Out of three standards measured, Standard One maintained 100% throughout the baseline and re-audit and Standard Two achieved over 90% throughout baseline and re-audit. Standard 3 has improved from baseline to re-audit. Overall, there has been clear improvement in all 3 standards from baseline audit.
Authors:
Madhusudan Deepak Thalitaya; Victor Udu; Maggie Nicholls; Terry Clark; Verinder P Prasher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychiatria Danubina     Volume:  23 Suppl 1     ISSN:  0353-5053     ISO Abbreviation:  Psychiatr Danub     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-06     Completed Date:  2011-10-28     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  9424753     Medline TA:  Psychiatr Danub     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  S50-6     Citation Subset:  IM    
Affiliation:
South Essex Partnership University NHS Foundation Trust, Twinwoods Medical Centre, Clapham, Bedfordshire, UK. Deepak.thalitaya@sept.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / therapeutic use*
Great Britain
Humans
Learning Disorders / complications*
Medical Audit / methods*,  statistics & numerical data
Physician's Practice Patterns / statistics & numerical data*
Schizophrenia / complications,  drug therapy*
Chemical
Reg. No./Substance:
0/Antipsychotic Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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