Key result
A simple one-page monitoring prompt and educational intervention increased adherence to routine baseline blood-testing guidelines, including glucose monitoring which improved from 24.6% to 72.6%.
Why the study?
Does an educational intervention and monitoring prompt improve adherence to routine blood-testing guidelines in out-patients on antipsychotic medication?
Observational (n=232)
No
Does an educational intervention and monitoring prompt improve adherence to routine blood-testing guidelines in out-patients on antipsychotic medication?
A simple monitoring prompt and educational intervention can significantly improve adherence to physical health monitoring guidelines for psychiatric outpatients.
Answers are grounded in this paper and cite their sources.
May support prompts to boost monitoring adherence in antipsychotic outpatients; leaves open durability and scalability.
Aims and method Mental illness is associated with increased physical morbidity. We aimed to assess and improve the routine blood testing of prescribed antipsychotics in out-patients from a busy London inner city area. Audit findings were presented locally to prescribers, together with educational suggestions to improve physical health assessment. Results Initially, the numbers monitored were low in the overall number of 126 patients included in the first audit. Following the intervention, this improved significantly in the second audit (of 106 patients). Clinical implications A simple one-page monitoring prompt and an educational intervention could significantly increase the adherence to routine blood-testing guidelines. Better physical screening may help reduce physical morbidity and mortality, and improve the quality of life of individuals with mental illness.
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Gonzalez et al. (2010) conducted an observational in Mental illness requiring antipsychotic medication (n=232). Educational intervention and a one-page monitoring prompt vs. Pre-intervention baseline practice (first audit) was evaluated on Baseline serum glucose monitoring rate (p=<0.001). A simple one-page monitoring prompt and educational intervention increased adherence to routine baseline blood-testing guidelines, including glucose monitoring which improved from 24.6% to 72.6%.
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