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An audit of clinical practice in an ACT team against NICE guidelines in schizophrenia
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Macpherson, Rob, Hovey, Nicola, Ranganath, Krishen, Uppal, Amjad and Thompson, Andrew D. (2007) An audit of clinical practice in an ACT team against NICE guidelines in schizophrenia. Journal of Psychiatric Intensive Care, 3 (02). pp. 113-117. doi:10.1017/S1742646408001179 ISSN 1742-6464.
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Official URL: http://dx.doi.org/10.1017/S1742646408001179
Abstract
Aims and method: We audited the caseload of an Assertive Community Treatment (ACT) team against National Institute of Clinical Excellence (NICE) guidelines in the treatment of schizophrenia. Care coordinators rated the work carried out by the team on an audit tool. Results were compared to a case note audit completed 2 years earlier.
Results: 61 patients had a primary diagnosis of schizophrenia. Rates of compliance with NICE guidelines varied from 0% (provision of advance directive) to 85% (written information given, no antipsychotic polypharmacy). Compliance was greater than in the earlier audit.
Discussion: When refusal, lack of capacity or indication were taken account of, guidelines were generally adhered to. Although a useful benchmarking process and an opportunity to identify skill deficits in the team, our findings raised concerns about simplistic notions of guideline implementation, as a means to improve practice. Patient choice is an important consideration.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Journal of Psychiatric Intensive Care | ||||||
Publisher: | Cambridge University Press | ||||||
ISSN: | 1742-6464 | ||||||
Official Date: | 2007 | ||||||
Dates: |
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Volume: | 3 | ||||||
Number: | 02 | ||||||
Page Range: | pp. 113-117 | ||||||
DOI: | 10.1017/S1742646408001179 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access |
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