Skip to main content
padlock icon - secure page this page is secure

The impact and acceptability of a central register on the standard of monitoring of lithium therapy: professional and patient perspectives

Buy Article:

$55.00 + tax (Refund Policy)

Objective To ascertain whether a central (district) computerised register improves the standard of monitoring of patients on lithium therapy and to assess its acceptability to clinicians and patients.

Design A pilot study with a before and after audit, with questionnaires for clinicians and patients.

Setting General medical practices in Leicestershire from two localities.

Participants 17 practices, 91 patients and 42 clinicians.

Interventions Setting up a central lithium register which sent out regular reminders to patients for blood tests. An educational meeting was also held.

Main outcome measures Audit results for compliance with evidence-based criteria and patient satisfaction.

Results There appeared to be more frequent monitoring of lithium levels (+10.2%), renal function (+19.0%) and issuing of patient-held lithium cards. However, the second data collection included several practices that did not take part in the first audit. Both clinicians (response rate 60%) and patients (response rate 42%) expressed satisfaction and wished the register to continue.

Conclusion A central system of call and recall probably improves the quality of monitoring of patients on lithium and is acceptable to clinicians (both psychiatrists and general practitioners) and patients.
No Reference information available - sign in for access.
No Citation information available - sign in for access.
No Supplementary Data.
No Article Media
No Metrics

Keywords: INTERFACE AUDIT; LITHIUM; MONITORING; PATIENT SAFETY; REGISTERS

Document Type: Research Article

Affiliations: 1: Director, Leicestershire Primary Care Audit Group, Leicester, UK 2: Consultant Pathologist, University Hospitals of Leicester, Leicester, UK 3: General Practitioner, Sileby, Leicestershire, UK 4: Consultant Psychiatrist, Leicestershire & Rutland Healthcare Trust, Leicester, UK 5: Clinical Governance Manager, South Charnwood Primary Care Group, Leicester, UK 6: Manager, Leicestershire Primary Care Audit Group, Leicester, UK

Publication date: 01 September 2002

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
X
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more