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A re-audit of ECT training and practice

  • Farida Yousaf (a1), Martin Lee (a2) and Jose King (a3)
Abstract
Aims and methods

A re-audit of the current practice of electroconvulsive therapy (ECT) was carried out over a period of five months using the new guidelines produced by the Royal College of Psychiatrists. The areas audited included obtaining consent from the patients, information recording, training and supervision of the junior doctors and the practical aspects of ECT administration, including dose titration.

Results

An improvement in the training and supervision of junior doctors was seen since the last audit but shortcomings were identified in areas of pre- and post-ECT preparation, information recording and correct use of stimulus-dosing policy.

Clinical implications

Recommendations include the need to improve clinical practice and recording of information.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
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References
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Duffett, R. & Lelliot, P. (1998) Auditing electroconvulsive therapy. The third cycle. British Journal of Psychiatry, 172, 401 405.
Hill-Smith, A. J. & Lee, M. S. (1992) ECT – current practical administration. Psychiatric Bulletin, 16. 269 271.
Pippard, J. (1992) Audit of electroconvulsive treatment in two national health service regions. British Journal of Psychiatry, 160, 621 631.
Pippard, J. & Ellam, L. (1981) Electroconvulsive treatment in Great Britain: a report to the College. British Journal of Psychiatry, 139, 563 568.
Royal College of Psychiatrists (1995) The ECT Handbook: the Second Report of the Royal College of Psychiatrists' Special Committee on ECT. Council Report CR39. London: Royal College of Psychiatrists.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A re-audit of ECT training and practice

  • Farida Yousaf (a1), Martin Lee (a2) and Jose King (a3)
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