Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 16, 2018Journal of Clinical Psychopharmacology

Can We Improve Physical Health Monitoring for Patients Taking Antipsychotics on a Mental Health Inpatient Unit?

View Full Paper
Ask AI
Bookmark
Share

Key result

Implementation of an electronic standardized order set significantly improved physical health monitoring rates for blood glucose (31% to 96%), fasting lipids (36% to 64%), ECG, and TSH (P < 0.05).

Why the study?

Does an electronic standardized order set improve physical health monitoring rates in psychiatric inpatients taking antipsychotics?

Population

286 psychiatric inpatients aged 18 to 100 years prescribed an antipsychotic for 3 or more days

Comparison

Implementation of a standard electronic… vs Baseline practice prior to implementation

Design

Cohort

Authors

ERElyse RossWestern UniversityRBRebecca BarnettUniversity Hospitals of ClevelandRTRebecca Tudhope

Discussion

Loading...

Member takes

Overview

May support order set use to boost monitoring compliance; leaves open effects on cardiometabolic outcomes.

Study Design

Type

Observational (n=286)

Multicenter

No

Structured PICO

Does an electronic standardized order set improve physical health monitoring rates in psychiatric inpatients taking antipsychotics?

P
Population
286 psychiatric inpatients aged 18 to 100 years prescribed an antipsychotic for ≥3 days, evaluated before and after implementation of an electronic standardized order set.
E
Exposure
Implementation of a standard electronic admission order set and training for inpatient clinical staff
C
Comparator
Baseline practice prior to implementation (retrospective audit from 2012)
O
Outcome
Rates of physical health monitoring (TSH, blood pressure, blood glucose, fasting lipids, ECG, and height/weight) and intervention rates for abnormal results

Main Result

Absolute Event Rate: 96% vs 31%

p-value: p=<0.05

Implementation of an electronic standardized order set significantly improved screening rates for metabolic and cardiovascular comorbidities in psychiatric inpatients on antipsychotics.

Cite This Study

Ross et al. (2018) conducted an observational in Severe mental illness receiving antipsychotic medications (n=286). Electronic standardized admission order set vs. Baseline retrospective audit (standard care) was evaluated on Blood glucose monitoring rate (p=<0.05). Implementation of an electronic standardized order set significantly improved physical health monitoring rates for blood glucose (31% to 96%), fasting lipids (36% to 64%), ECG, and TSH (P < 0.05).

synapsesocial.com/papers/6a6bf4deec7caa0664b39210https://doi.org/10.1097/jcp.0000000000000931
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nurse‐assessed metabolic monitoring: A file audit of risk factor prevalence and impact of an intervention to enhance measurement of waist circumference2014 · 24 citations
  2. 2Impact of a nurse-led intervention to improve screening for cardiovascular risk factors in people with severe mental illnesses. Phase-two cluster randomised feasibility trial of community mental health teams2010 · 81 citations
  3. 3A well-being support program for patients with severe mental illness: a service evaluation2011 · 50 citations
  4. 4Antipsychotic Medication and Diabetes Mellitusrs2005 · 10 citations
  5. 5Interventions to increase access to or uptake of physical health screening in people with severe mental illness: a realist review2018 · 43 citations