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. 2013 Jan;10(1):29-36.

Improving Blood and ECG Monitoring Among Patients Prescribed Regular Antipsychotic Medications

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Free PMC article

Improving Blood and ECG Monitoring Among Patients Prescribed Regular Antipsychotic Medications

Parashar Pravin Ramanuj. Ment Health Fam Med. .
Free PMC article

Abstract

Aims and methods It is now well established that antipsychotic medications are associated with adverse effects such as metabolic dysfunction, hyperprolactinaemia and cardiac arrhythmias. We completed an audit cycle between 2008 and 2010 to assess whether the implementation of a high-visibility prompt and an educational programme would improve monitoring rates among patients prescribed regular antipsychotics admitted to a 59-bedded psychiatric hospital in West Sussex. Results There was an improvement in monitoring rates for most audit standards. The greatest improvement was seen in measurement of random plasma glucose and cholesterol levels. Rates improved irrespective of the risk of metabolic dysfunction. However, prolactin measurement remained static and the ECG recording deteriorated. Clinical implications There appears to be a growing awareness of the need to screen for metabolic dysfunction among patients prescribed regular antipsychotic medication. A high-visibility prompt and educational programme helps to increase monitoring rates. However, more needs to be done to improve the mortality and morbidity rates among this patient subpopulation.

Keywords: antipsychotic medication; metabolic dysfunction; monitoring.

Figures

Figure 1
Figure 1
One-page prompt displayed in highly visible clinical areas to improve monitoring of patients on regular antipsychotics.
Figure 2
Figure 2
Change in monitoring of metabolic parameters: comparison of antipsychotics with highest risk of metabolic dysfunction with all antipsychotics.

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