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Introduction
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What is audit?
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The audit cycle
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Distinguishing audit from research
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Why is audit important?
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What is best practice in audit?
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How can the results of audit lead to changes in practice?
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How can audit benefit doctors?
Completing an audit project
Step 1. Choose a topic
Step 2. Consider forming a multidisciplinary team
Step 3. Review the literature
Step 4. Set standards
Step 5. Choose an audit design
Step 6. Collect the data
Step 7. Analyse the data
Step 8. Make conclusions and recommendations
Step 9. Disseminate results
Step 10. Implement change
Step 11. Re-audit
Part I: Disorders
1. Acute
confusion: recognition
2.
Antenatal and postnatal mental health
3.
Attention-deficit hyperactivity disorder: provision of
information
4. Bipolar
depression: treatment
5. Bipolar
disorder: management
6. Bipolar
disorder: shared decision-making
7. Bipolar
disorder: treatment
8. Chronic
fatigue syndrome
9.
Dementia: driving
10.
Dementia: end-of-life care
11.
Dementia: investigations
12.
Depression: management in children and young people
13. Eating
disorders: management
14.
Epilepsy: management
15. Opiate
dependence and pregnancy
16.
Schizophrenia: family interventions
17.
Schizophrenia: management
18.
Schizophrenia: occupational achievements
19.
Self-harm: assessment
20.
Self-harm: assessment in children
Part II: Legislation
21.
Consent to treatment (Scotland)
22.
Consent to treatment and second-opinion approved doctors
23. Mental
Health Act (Scotland)
24.
Seclusion
25.
Section 17 leave
26.
Section 136 assessments
27.
Tribunal reports
Part III: Physical health
28.
Diabetes: management
29.
Infection control
30.
Metabolic side-effects of antipsychotics
31.
Metabolic syndrome
32.
Monitoring growth and blood pressure in children with
attention-deficit hyperactivity disorder
00.
Physical examinations: equipment
34.
Physical health of in-patients: assessment
35.
Physical health of in-patients: record-keeping
36.
Physical health of patients with severe mental illness
37.
Screening for blood-borne viruses
38.
Screening for breast and cervical cancer
39.
Smoking cessation
40.
Testing for illicit drug use
41.
Venepuncture equipment
Part IV: Record-keeping
42.
Alcohol history
43. Care
plans in community drug and alcohol teams
44. Care
programme approach: home treatment teams
45. Care
programme approach: prisons
46. Care
programme approach: secondary care
47.
Confidential waste
48.
Documentation of the psychiatric history
49.
Documentation of ward reviews
50.
Letters to general practitioners
51.
Medication alerts in electronic patient records
52. Risk
assessment: forms for in-patients
53. Risk
assessment: medium-secure unit
Part V: Service provision
54. Early
intervention teams
55.
Emergency department: attendance
56.
Information for in-patients on their rights
57.
Interpreters
58.
Liaison psychiatry: response time to referrals
59.
Multi-agency working
60.
Personal searches
61. Prison
equivalence
62.
Prison-to-hospital transfers
63.
Seven-day follow-up
64.
Substance misuse: Treatment Outcomes Profile
65.
Transition from ‘choice’ to ‘partnership’ in the Choice and
Partnership Approach
66.
Transition planning in attention-deficit hyperactivity disorder
67.
Violent incidents: management
68.
Waiting times
Part VI: Training
69.
Audits
70. Course
attendance
71.
Safety
72.
Workplace-based assessments
Part VII: Treatment
73.
Alcohol withdrawal: management
74.
Anticholinesterase inhibitors: monitoring of cardiac
side-effects
75.
Anticholinesterase inhibitors: prescribing
76.
Antimuscarinic medications
77.
Antipsychotics: combined and high dose
78.
Antipsychotics: prescribing
79.
Antipsychotics: use in dementia
80.
Attention-deficit hyperactivity disorder: prescribing
81.
Atypical antipsychotics: monitoring
82.
Behavioural problems in adults with intellectual disabilities:
medication management
83.
Benzodiazepines in old age psychiatry
84. Covert
administration of medication
85. Depot
antipsychotics: side-effects
86.
Diazepam as rescue medication in epilepsy
87.
Electroconvulsive therapy: facilities
88.
Electroconvulsive therapy: indications
89.
Hypnotics
90.
Lithium: monitoring
91.
Medicines reconciliation
92. Mood
stabilisers: monitoring
93.
Nurses’ administration of medication
94.
Prescribing: British National Formulary limits
95.
Prescribing: Mental Capacity Act
96.
Prescribing: p.r.n. medication
97.
Prescription charts
98.
Psychological therapies
99.
Psychotherapy re-referrals
100.
Psychotropic prescriptions in dual diagnosis
101. Rapid
tranquillisation
Appendices
1.
Forms for section 136 of the Mental Health Act
2.
Pharmacological management of alcohol withdrawal
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"Finding a topic to audit that is
interesting, relevant and achievable within clinical practice can
sometimes be difficult. This book is a valuable resource for
anybody involved in undertaking an audit as part of their
continuing professional development. It can be dipped in and out of
time and time again."
- The
Psychiatrist
About the
editors:
Clare Oakley -
Clinical Research Worker, Institute of Psychiatry, King’s College
London.
Floriana
Coccia - Honorary Clinical Lecturer, University of
Birmingham & Specialty Registrar in general adult psychiatry,
Birmingham and Solihull Mental Health Foundation Trust.
Neil Masson -
Specialty Registrar in general adult psychiatry, NHS Greater
Glasgow and Clyde.
Iain McKinnon
- Doctoral Research Fellow, National Institute for Health Research,
Newcastle University
Meinou
Simmons - Specialty Registrar in child and adolescent
psychiatry, Cambridge and Peterborough Foundation Trust.
Quote from the
editors:
"It can be difficult to find
time to conduct thorough and useful audits in busy clinical
practice. This book will help by giving practical advice and
a step by step guide to a range of audits that have been carried
out across the country and across the specialty."
"A whole section is devoted to
distinguishing between audit and research. Several of my colleagues
have started out doing what they think is an audit only to find out
later that what they have found and presented is in fact research.
This section is particularly helpful in separating the two and
avoiding this confusion."
- The
Psychiatrist
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