Effects of local guidelines on prescribing practice and treatment outcomes in a long-stay psychiatric facility
| Title: | Effects of local guidelines on prescribing practice and treatment outcomes in a long-stay psychiatric facility |
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| Authors: | Iličković Ivana M., Tomčuk Aleksandar B., Djedović Jovo M., Bećir Kristina B., Janković Slobodan M. |
| Source: | Hospital Pharmacology, Vol 6, Iss 1, Pp 756-764 (2019) |
| Publisher Information: | Srpsko lekarsko drustvo, 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Therapeutics. Pharmacology |
| Subject Terms: | guidelines, schizophrenia, antipsychotic polypharmacy, inpatients, outcomes, Therapeutics. Pharmacology, RM1-950 |
| More Details: | Introduction: a gap between evidence-based recommendations for prescribing antipsychotics and its implementation in practice could be overcome by local guidelines. Aim: the aim of our study was to locally adapt the national guideline for schizophrenia and evaluate its impact on prescribing practice as well as on clinical and humanistic outcomes in a long-stay psychiatric hospital Dobrota in Kotor, Montenegro. Subjects and Methods: This was academic, prospective, IV phase interventional study, which measured outcome before and after investigators intervention within healthcare system. The study was conducted in two six-months phases separated by implementation of the local guidelines. Prescribing practices and treatment outcomes were monitored in both phases of the study. Results: Study included 111 patients. Although the guidelines did not influence total volume of prescribed antipsychotics, social functioning and environmental aspects of quality of life were improved. Conclusions: Writing and adopting the guidelines for local use might be associated with some benefit in humanistic outcomes, but multi-faceted intervention should be considered in order to achieve more substantial impact on prescribing practices and clinical outcomes. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Serbian |
| ISSN: | 2334-9492 |
| Relation: | https://scindeks-clanci.ceon.rs/data/pdf/2334-9492/2019/2334-94921901756I.pdf; https://doaj.org/toc/2334-9492 |
| Access URL: | https://doaj.org/article/b93554c82bb14fa99b12cd706a45cedd |
| Accession Number: | edsdoj.b93554c82bb14fa99b12cd706a45cedd |
| Database: | Directory of Open Access Journals |
| ISSN: | 23349492 |
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| Published in: | Hospital Pharmacology |
| Language: | English Serbian |