Antipsychotic Cardiometabolic Side Effect Monitoring in a State Community Mental Health System.
Antipsychotic medications can cause serious cardiometabolic side effects. No recent research has broadly evaluated monitoring and strategies to improve monitoring in U.S. public mental health systems. To address this knowledge gap, we evaluated education with audit and feedback to leaders to improve...
| Publicado en: | Community Mental Health Journal Vol. 51; no. 6; pp. 685 - 695 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
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Springer Nature
Aug2015
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=108426710&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 108426710 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Aug2015 vid: 51 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 108426710 10.1007/s10597-015-9833-0 ppf: 685 ppct: 10 formats: fmt: @attributes: type: P size: 402KB tig: atl: Antipsychotic Cardiometabolic Side Effect Monitoring in a State Community Mental Health System. aug: au: Cotes, Robert Nesnera, Alex Kelly, Michael Orsini, Karen Xie, Haiyi McHugo, Greg Bartels, Stephen Brunette, Mary affil: Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, 80 Jesse Hill Jr Dr SE Atlanta 30303 USA Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover USA Bureau of Behavioral Health, Department of Health and Human Services, Hanover USA su: United States Intellect Personnel management Antipsychotic agents Blood pressure Blood sugar Chi-squared test Medical records Statistical sampling Triglycerides Logistic regression analysis Waist circumference Descriptive statistics sug: subj: Intellect Personnel management United States Pharmaceutical and medicine manufacturing Human Resources Consulting Services Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) Marketing Research and Public Opinion Polling Antipsychotic agents Blood pressure Blood sugar Chi-squared test Medical records Statistical sampling Triglycerides Logistic regression analysis Waist circumference Descriptive statistics keyword: Antipsychotic medications Cardiometabolic Metabolic monitoring Quality improvement Side effects Antipsychotic medications Cardiometabolic Metabolic monitoring Quality improvement Side effects ab: Antipsychotic medications can cause serious cardiometabolic side effects. No recent research has broadly evaluated monitoring and strategies to improve monitoring in U.S. public mental health systems. To address this knowledge gap, we evaluated education with audit and feedback to leaders to improve cardiometabolic monitoring in a state mental health system. We used Chi square statistics and logistic regressions to explore changes in monitoring recorded in randomly sampled records over 2 years. In 2009, assessment of patients on antipsychotics was 29.6 % for cholesterol, 40.4 % for glucose, 29.1 % for triglycerides, 54.3 % for weight, 33.6 % for blood pressure, and 5.7 % for abdominal girth. In 2010, four of ten mental health centers improved their rate of adult laboratory monitoring. Overall monitoring in the state did not increase. Education for prescribers with audit and feedback to leaders can improve monitoring in some settings, but more intensive and/or prolonged interventions may be required. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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