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Audit: Prescribing practices at Queen Elizabeth Central Hospital Psychiatric unit in 2011

Audit: Prescribing practices at Queen Elizabeth Central Hospital Psychiatric unit in 2011. Olive Liwimbi Trainee, MMed Psychiatry, College of Medicine Medical Officer , Ministry of Health , Q.E.C.H. background. Limited resources & drug shortages Emergency and OPD services

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Audit: Prescribing practices at Queen Elizabeth Central Hospital Psychiatric unit in 2011

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  1. Audit: Prescribing practices at Queen Elizabeth Central Hospital Psychiatric unit in 2011 Olive Liwimbi Trainee, MMed Psychiatry, College of Medicine Medical Officer, Ministry of Health, Q.E.C.H

  2. background • Limited resources & drug shortages • Emergency and OPD services • Comprehensive guidelines not in place • Do current practices conform to WHO MhGAP intervention guidelines?

  3. methodology • January – February 2012 • Data collection: patient files, health passports and patient / guardian • Targeted conditions: psychosis, bipolar disorder and unipolar depression • Selection of standards : MhGAP

  4. results • 969 patients seen in 2727 visits in 2011 • 51 patients audited

  5. Results: Medication use, psychosis Guidelines: One antipsychotic at a time Findings:

  6. Conclusion & recommendation • Need for establishment of guidelines /standards emphasis on rational prescribing • Need for clinician support: - once yearly review • Regular availability of psychotropics • Re- audit

  7. acknowledgments Dr R Stewart, Mr Maida & the psychiatric team at QECH

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