La restricción de la politerapia antipsicótica en una institución estatal se asoció con mejor desempeño de los psiquiatras

Translated title of the contribution: Curtailing antipsychotic polypharmacy in a state institution: Review and update of a performance improvement intervention

Jeffry R. Nurenberg, Steven J. Schleifer, Patrick Vijayalakshmy

Research output: Contribution to journalReview articlepeer-review

Abstract

A moderate intensity performance improvement initiative at a state psychiatric hospital to reduce antipsychotic polypharmacy was undertaken in November 2001. The Chief of Psychiatry met with each of 14 psychiatrists, comparing their rates of polypharmacy with that of their peers, and asked all to attempt a 10% decrease in antipsychotic polypharmacy. Polypharmacy fell significantly from 40 percent of patients treated with antipsychotics in November 2001 to 31 percent in August 2002. Reduced polypharmacy was not related to baseline rates or associated with increased use of other psychotropic medications. Rates of polypharmacy in 2006-2008 appear to have reverted to the 40% range, however. During a period of institutional change, possibly associated with increased clinical acuity, antipsychotic polypharmacy approached 67%. While an only modestly intensive intervention by leadership appeared to reduce polypharmacy in 2001, studies are required to determine whether such efforts can be efficacious under different, more acute clinical conditions. Copyrigth

Translated title of the contributionCurtailing antipsychotic polypharmacy in a state institution: Review and update of a performance improvement intervention
Original languageSpanish
Pages (from-to)432-434
Number of pages3
JournalSalud(i)Ciencia
Volume17
Issue number5
StatePublished - May 2010

ASJC Scopus subject areas

  • Medicine(all)

Keywords

  • Antipsychotic polypharmacy
  • Intervention
  • Restriction
  • State psychiatric hospital

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