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July 1, 2023BJPsych OpenOpen Access

Introduction of a Standardised Admissions Template Improves Adherence to Physical Health Assessment Standards on Admission to an Inpatient Psychiatry Unit

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Why the study?

Omitting admission ECGs in psychiatric inpatients risks inadequate physical health assessment, especially given comorbid disease and antipsychotic use. This audit aimed to evaluate and improve completion of admission ECGs within 24 hours.

Does a standardized admissions template improve adherence to admission ECG within 24 hours in psychiatric inpatients?

Comparison

Admission proforma with prompts and signature vs standard admission records

Design

Two-cycle clinical audit

Authors

RPRachael PulleySDShaina DillonRPRoshanna Pillai

Discussion

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Overview

May support template use to raise ECG rates in psychiatric admissions; hypothesis-generating and should not yet change practice.

Structured PICO

Does a standardized admissions template improve adherence to admission ECG within 24 hours in psychiatric inpatients?

P
Population
57 psychiatric admissions (41 in baseline period Sept 2019, 16 in post-intervention period Sept 2020) in an inpatient psychiatry unit.
I
Intervention
Introduction of an admission proforma containing prompts and requiring a signature of the admitting doctor.
C
Comparator
Standard admission process (retrospective baseline data from Sept 2019).
O
Outcome
Achievement of admission ECG within 24 hours.

The introduction of a standardized admission proforma improved adherence to physical health assessment standards, specifically the completion of admission ECGs within 24 hours, in a psychiatric inpatient unit.

Limitations

  • Reduced patient numbers secondary to COVID-19 admission processes, particularly in the older adult ward, meaning some results in those over 65 may be spurious.

Cite This Study

Pulley et al. (2023) studied this question.

synapsesocial.com/papers/6a7defd2c108c8d3ff04608chttps://doi.org/10.1192/bjo.2023.465
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Also Consider

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

  1. 1An audit of ECG and blood test monitoring on new admissions to female adult psychiatry ward in a psychiatry hospital, North Yorkshire2024
  2. 2Keeping Up Standards: An Audit of Adherence to Admission Standards on Acute Mental Health Wards in NHS Lanarkshire2024
  3. 3Psychiatric Admission Documentation at Leverndale Hospital, Glasgow2024
  4. 4Emergency department physical health assessment prior to acute inpatient psychiatric admission: A service evaluation2026
  5. 5Audit of Admissions to Acute Psychiatric Inpatient Unit of Patients With Eating Disorders/Disordered Eating2024