Document Detail


Screening for the metabolic syndrome in community psychiatric patients prescribed antipsychotics: a quality improvement programme.
MedLine Citation:
PMID:  18582345     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim was to evaluate a quality improvement programme designed to increase screening for the metabolic syndrome in community psychiatric patients prescribed antipsychotics. METHOD: Baseline audit against evidence-based standards, followed by provision of benchmarked data and a range of change interventions, with re-audit 1 year later. RESULTS: At baseline, 48 assertive outreach teams across the UK submitted data on screening over the previous year for 1966 patients. At re-audit, 35 of the teams submitted data for 1516 patients. Screening for all four aspects of the metabolic syndrome (measuring blood pressure, obesity, blood glucose and plasma lipids) had increased significantly by re-audit. Clinical variables increasing the likelihood of full screening were clozapine treatment and a known diagnosis of diabetes or dyslipidaemia. CONCLUSION: The programme's success may be partly attributed to the use of a widely-accepted audit standard, and bespoke change interventions that directly addressed barriers to screening identified by the participating clinical teams.
Authors:
T R E Barnes; C Paton; E Hancock; M-R Cavanagh; D Taylor; P Lelliott;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta psychiatrica Scandinavica     Volume:  118     ISSN:  1600-0447     ISO Abbreviation:  Acta Psychiatr Scand     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-27     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370364     Medline TA:  Acta Psychiatr Scand     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  26-33     Citation Subset:  IM    
Affiliation:
Department of Psychological Medicine, Imperial College Faculty of Medicine, Charing Cross Campus, London, UK. t.r.barnes@imperial.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Antipsychotic Agents / adverse effects*,  therapeutic use
Benchmarking / standards
Body Weight / drug effects
Community Mental Health Services / standards
Community-Institutional Relations / standards
Dose-Response Relationship, Drug
Drug Therapy, Combination
England
Female
Health Services Accessibility
Humans
Life Style
Male
Mass Screening / standards*
Medical Audit / standards
Metabolic Syndrome X / chemically induced*,  diagnosis,  epidemiology
Middle Aged
Mood Disorders / drug therapy*,  epidemiology
Physical Examination
Psychotic Disorders / drug therapy*,  epidemiology
Quality Assurance, Health Care / standards*
Quality Indicators, Health Care / standards
Questionnaires
Reference Standards
Reminder Systems
Retrospective Studies
Chemical
Reg. No./Substance:
0/Antipsychotic Agents

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


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