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Role of the Prescribing Observatory for Mental Health

  • Thomas R. E. Barnes (a1) and Carol Paton (a1)
Summary

Positive change in prescribing practice in psychiatric services can be achieved with participation in the UK Prescribing Observatory for Mental Health (POMH-UK) quality improvement programmes. Key elements are feedback of benchmarked performance for local clinical reflection and customised change interventions informed by the national audit findings and parallel qualitative work. However, progress is gradual and gains generally modest.

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Copyright
Corresponding author
Thomas R. E. Barnes, Centre for Mental Health, Imperial College, 37 Claybrook Road, London W6 8RP, UK. Email: t.r.barnes@imperial.ac.uk
Footnotes
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Declaration of interest

In the past 3 years, T.R.E.B. has received honoraria for speaking from Lilly and Roche, and C.P. has been a consultant for Roche and Janssen.

Footnotes
References
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1 Paton, C, Barnes, TRE, Cavanagh, M-R, Taylor, D, Lelliott, P. High-dose and combination antipsychotic prescribing in acute adult wards in the UK: the challenges posed by p.r.n. prescribing. Br J Psychiatry 2008; 192: 435–9.
2 Barnes, TRE, Paton, C, Cavanagh, M-R, Hancock, E, Taylor, DM. A UK audit of screening for the metabolic side effects of antipsychotics in community patients. Schizophr Bull 2007; 33: 1397–401.
3 Barnes, TRE, Paton, C, Hancock, E, Cavanagh, MR, Taylor, D, Lelliott, P, et al. Screening for the metabolic syndrome in community psychiatric patients prescribed antipsychotics: a quality improvement programme. Acta Psychiatr Scand 2008; 118: 2633.
4 Paton, C, Flynn, A, Shingleton-Smith, A, MacIntyre, S, Bhaumik, S, Rasmussen, J, et al. Nature and quality of antipsychotic prescribing practice in UK psychiatry of learning disability services: findings of a national audit. J Intellec Disabil Res 2011; 55: 665–74.
5 Perecherla, S, Paton, C, Shingleton-Smith, A, Barnes, TRE. Variations in antidementia drug prescribing. Prog Neurol Psychiatry 2009; 13: 30–3.
6 Collins, N, Barnes, TRE, Shingleton-Smith, A, Gerrett, D, Paton, C. Standards of lithium monitoring in mental health trusts in the UK. BMC Psychiatry 2010; 10: 80.
7 Paton, C, Barnes, TRE, Shingleton-Smith, A, McAllister-Williams, RH, Kirkbride, J, Jones, PB, et al. Lithium in bipolar and other affective disorders: prescribing practice in the UK. J Psychopharmacol 2010; 24: 1739–46.
8 Paton, C, McIntyre, S, Bhatti, SF, Shingleton-Smith, A, Gray, R, Gerrett, D, et al. Medicines reconciliation on admission to inpatient psychiatric care: findings from a UK quality improvement programme. Ther Adv Psychopharmacol 2011; 4: 101–10.
9 Raleigh, VS, Foot, C. Getting the Measure of Quality: Opportunities and Challenges. The King's Fund, 2010.
10 Barnes, TRE, Shingleton-Smith, A, Paton, C. Antipsychotic long-acting injections: prescribing practice in the UK. Br J Psychiatry 2009; 195: s37-42.
11 National Patient Safety Agency. Lithium Therapy: Important Information for Patients. NPSA, 2009.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Role of the Prescribing Observatory for Mental Health

  • Thomas R. E. Barnes (a1) and Carol Paton (a1)
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