- Title
- Metabolic screen and intervene: improving mental health inpatient metabolic monitoring
- Creator
- Viglione, Luke; Short, Brooke L.
- Relation
- Australasian Psychiatry Vol. 29, Issue 3, p. 289-293
- Publisher Link
- http://dx.doi.org/10.1177/1039856220936147
- Publisher
- Sage
- Resource Type
- journal article
- Date
- 2021
- Description
- Objective: To assess rates of metabolic monitoring in patients prescribed antipsychotic medications in the psychiatric inpatient setting and the impact education can have regarding monitoring compliance. Method: Two identical audits were undertaken at a NSW mental health inpatient service before and after a campaign designed to educate mental health workers about the importance of metabolic monitoring. Results from both audits were compared for statistically significant improvements in monitoring rates. Results: Rates of monitoring plasma lipids increased from 21.7% to 78.8% (p < 0.01) and rates for plasma glucose increased from 20.8% to 73.7% (p < 0.01). There were no statistically significant changes in rates of monitoring body mass index (83.0% and 77.1%, respectively), waist circumference (36.8% and 43.2%, respectively) and blood pressure (99.1% and 100%, respectively). Conclusion: This study has shown that rates of metabolic monitoring in the inpatient setting can be improved with a relatively low-cost education intervention. While absolute rates remain low, outcomes suggest that it may be worthwhile trialling further modes of education and repeating this education in cycles.
- Subject
- metabolic syndrome; antipsychotic medications; inpatient; quality improvement; mental disorders
- Identifier
- http://hdl.handle.net/1959.13/1452139
- Identifier
- uon:44373
- Identifier
- ISSN:1039-8562
- Language
- eng
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