Improving rates of metabolic monitoring on an inpatient psychiatric ward.

BMJ Open Quality
Sarah Michael, Kirsty MacDonald

Abstract

Cardiovascular disease is the leading cause of premature death in patients with mental illness. Metabolic syndrome is a cluster of co-occurring cardiovascular risk factors, seen in high frequency in severe mental illness. Despite ease of diagnosis, monitoring is often poor across psychiatric populations. This report details a quality improvement initiative undertaken on an inpatient psychiatric ward to improve rates of metabolic monitoring. Four key interventions were developed: (1) A nurse-led intervention, where nurses were upskilled in performing metabolic monitoring, (2) Education was provided to all staff, (3) Introduction of a suite of interventions to improve metabolic risk and (4) Ongoing consumer involvement. A pre-post intervention study design was used to measure effectiveness, with an audit of metabolic monitoring rates performed 12 months after the intervention began. Rates of weight and height monitoring both increased from 46.0% to 69.5% (p=0.0185) and body mass index (BMI) recordings increased from 33% to 63% (p=0.0031). Rates of waist circumference monitoring increased from 44.2% to 65.2% (p=0.0498). Blood pressure (BP) measurements increased from 88.5% to 100% (p=0.0188). Lipid monitoring rates improved from 2...Continue Reading

References

Jan 7, 2005·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Tony CohnGary Remington
Dec 13, 2005·American Heart Journal·Charles H HennekensDaniel E Casey
Nov 25, 2006·Schizophrenia Research·Julio BobesUNKNOWN CLAMORS Study Collaborative Group
Dec 28, 2006·Chronic Respiratory Disease·D L Cullen
Dec 6, 2007·Journal of Clinical Nursing·Nicola Carey, Molly Courtenay
Feb 22, 2008·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Amber Jennex, David M Gardner
Feb 2, 2010·The British Journal of Psychiatry : the Journal of Mental Science·Steve BrownHazel Inskip
Jul 22, 2010·European Psychiatry : the Journal of the Association of European Psychiatrists·M De HertJ Peuskens
Sep 25, 2010·Journal of the American College of Cardiology·Salvatore MottilloMark J Eisenberg
Jul 12, 2011·Schizophrenia Research·Thomas Munk Laursen
Oct 8, 2011·International Clinical Psychopharmacology·Hannah NewallJackie Curtis
Jan 18, 2012·Current Opinion in Psychiatry·Thomas M LaursenMogens Vestergaard
Feb 11, 2012·Journal of the American College of Cardiology·Scott M Grundy
Jan 8, 2013·European Journal of Clinical Investigation·Christian DatzElmar Aigner
Dec 5, 2015·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Jonathan LaugharneMilan Dragovic
Jun 8, 2017·Journal of Cardiovascular Pharmacology and Therapeutics·Dawn Harris SherlingCharles H Hennekens

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