Antipsychotic monitoring in dementia: quality of completion of antipsychotic monitoring forms in an older adult mental health service.
Antipsychotic monitoring in dementia: quality of completion of antipsychotic monitoring forms in an older adult mental health service.
复制标题
作者：
为了支持痴呆症抗精神病药物的安全处方，我们的电子健康记录中嵌入了抗精神病药物监测表。我们对这些表格上收集的数据进行了审查，以评估处方并确定我们的实践和流程中需要改进的领域。数据提取自2018年1月1日至2020年1月31日期间完成的抗精神病药物启动和审查表的结构化字段。我们确定了在实践中可以改进的差距，主要是关于身体健康监测（特别是心电图，仅在50%的患者中进行）和低（不到50%）记录使用非药物干预痴呆症的行为和心理症状。此外，尽管在近10%的综述中缺乏获益，但抗精神病药物治疗仍在继续。我们主张将服用抗精神病药物的痴呆症患者的身体健康监测建议添加到国家健康与护理卓越研究所关于痴呆症的指导和心理健康处方观察站（POMH-UK）国家审计中。
To support safe prescribing of antipsychotics in dementia, antipsychotic monitoring forms were embedded into our electronic health records. We present a review of the data collected on these forms to assess prescribing and identify areas for improvement in our practice and processes. Data were extracted from the structured fields of antipsychotic initiation and review forms completed between 1 January 2018 and 31 January 2020. We identified gaps in practice where improvements could be made, mainly with regard to physical health monitoring (and particularly electrocardiograms, performed in only 50% of patients) and the low (less than 50%) recorded use of non-pharmacological interventions for behavioural and psychological symptoms of dementia. In addition, antipsychotic treatment was continued despite lack of benefit in almost 10% of reviews. We advocate for recommendations on physical health monitoring of people with dementia taking antipsychotics to be added to the National Institute for Health and Care Excellence guidance on dementia and the Prescribing Observatory for Mental Health (POMH-UK) national audit.
登录
查看更多内容
影响因子：
3.5
作者：
Fernandes AC;Cloete D;Broadbent MT;Hayes RD;Chang CK;Jackson RG;Roberts A;Tsang J;Soncul M;Liebscher J;Stewart R;Callard F
通讯作者：
Callard F
影响因子：
17.7
作者：
Herrmann, N;Mamdani, M;Lanctôt, KL
通讯作者：
Lanctôt, KL
影响因子：
4.4
作者：
Stewart, Robert;Soremekun, Mishael;Lovestone, Simon
通讯作者：
Lovestone, Simon
影响因子：
4
作者：
Ma, Hui;Huang, Yinglin;Zhu, Gang
通讯作者：
Zhu, Gang
影响因子：
10.5
作者：
Barnes, Thomas R. E.;Banerjee, Sube;Paton, Carol
通讯作者：
Paton, Carol