Cardiometabolic screening and intervention in psychiatric inpatients: A quality improvement project
Abstract
BACKGROUND: Patients with severe mental illness have an increased risk for cardiometabolic diseases. Cardiometabolic risk screening is suggested at admission to psychiatric hospitals to identify and intervene; however, usually, these are not adequately undertaken. AIM: In a quality improvement project, we aimed to find out the usefulness of having an assigned member of the medical team as a “champion” to oversee the completeness of the screening and intervention process. METHODS: Retrospective and prospective audits were carried out which looked into the completion rate of cardiometabolic screening and intervention forms for psychiatric inpatients. The rates of completion for current inpatients following the contribution from a “cardiometabolic champion” were recorded. RESULTS: The results show that the cardiometabolic screening completion rate in the retrospective audit was 69.7%, similar to the rate in the prospective audit at 66.7%. However, following the intervention of the “cardiometabolic champion,” the rate of completion within the prospective audit increased by 21.2% to a total of 87.9%. Reasons for noncompletion in most patients were not documented. CONCLUSION: It appeared that input from a “cardiometabolic champion” may improve cardiometabolic screening and intervention in psychiatric inpatients. However, further efforts should be taken, such as staff training, to emphasize the need for the intervention.Citation
Ahmed S, Kar N. Cardiometabolic screening and intervention in psychiatric inpatients: A quality improvement project. Odisha Journal of Psychiatry 2024;20:17-23.Publisher
Wolters Kluwer – MedknowJournal
Odisha Journal of PsychiatryAdditional Links
https://journals.lww.com/odjp/fulltext/2024/01000/cardiometabolic_screening_and_intervention_in.4.aspxType
Journal articleLanguage
enDescription
© 2024 The Authors. Published by Wolters Kluwer Medknow. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://journals.lww.com/odjp/fulltext/2024/01000/cardiometabolic_screening_and_intervention_in.4.aspxISSN
2950-5992ae974a485f413a2113503eed53cd6c53
10.4103/OJP.OJP_9_24
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Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-sa/4.0/