Auditing electroconvulsive therapy

Duffett, Richard; Lelliott, Paul

doi:10.1192/bjp.172.5.401

Cited by 57 publications

(34 citation statements)

References 9 publications

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“…He or she is usually overoptimistic and pleasant to be with.This makes him or her quite a likeable character, the`lovable rogue' which we sometimes see in our substance misuse clinic. (Duffet & Lelliott, 1998). As well as considering vigorous strategies for implementing change, we wonder if more emphasis should be placed on provision of reward systems for guideline compliance.…”

Section: Alan Calvert Gibsonmentioning

confidence: 99%

‘Haltlose’ type personality disorder (ICD-10 F60.8)

Langmaack¹

2000

Psychiatr. bull.

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Section: Alan Calvert Gibsonmentioning

confidence: 99%

‘Haltlose’ type personality disorder (ICD-10 F60.8)

Langmaack¹

2000

Psychiatr. bull.

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“…It is known to be effective for treating depression [1], but evidence of poor clinical practice [2] and concerns over its side effects [3] mean its use remains problematic for some. British psychiatrists have responded to this questioning by adopting quality assurance processes such as the Royal College of Psychiatrists' ECT Accreditation Service (ECTAS).…”

Section: Introductionmentioning

confidence: 99%

Improving ECT practice with a care pathway: hits and misses

Onalaja

Sultana

Afghan

et al. 2008

International Journal of Psychiatry in Clinical Practice

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Objective. To evaluate the effectiveness of a care pathway for the use of electroconvulsive therapy (ECT) in a UK psychiatric inpatient unit. Methods. A completed clinical audit cycle of the care pathway and variance from it. Results. Sixty courses of treatment were reviewed. All were given for severe depressive disorder. Consent was recorded for all but one course. Clinical assessments were completed for 96% during and 50% after treatment. Conclusions. Use of a care pathway enhanced aspects of the clinical practice of ECT, although the overall effect was inconsistent. ECT was not used to treat schizophrenia. Maintenance ECT continues to be used despite the recent NICE guidance on this subject. The care pathway ensured regular clinical assessment of patients during their courses of ECT.

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“…Regulation or accreditation of ECT was first proposed after the last national audit (Duffett & Lelliott, 1997, 1998 which, like an earlier survey (Pippard, 1992), found deficits in the quality of administration of this therapy. The potential impact of these deficits has been highlighted by the NICE guidance linking efficacy and side-effects of ECT to the method of its delivery (National Institute for Clinical Excellence, 2003).…”

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confidence: 99%

The Electroconvulsive Therapy Accreditation Service

Caird¹,

Worrall

Lelliott

2004

Psychiatr. bull.

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The Electroconvulsive Therapy Accreditation Service (ECTAS) was launched in May 2003. Its purpose is to assure and improve the quality of the administration of electroconvulsive therapy. Participating clinics undergo a process of self- and peer-review. The Royal College of Psychiatrists' Court of Electors will award an accreditation rating to clinics that meet essential standards; this accreditation will last for 3 years, subject to annual self-review. Participating clinics will also receive feedback and advice about local strengths and areas for improvement. The accreditation service is endorsed by the Royal College of Nursing and the Royal College of Anaesthetists and has the support of the Healthcare Commission in relation to English services. Clinics that participate in ECTAS will be listed on the College website, with the accreditation rating awarded.

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Auditing electroconvulsive therapy

Abstract: Twenty years of activity by the Royal College of Psychiatrists and three large-scale audits have been associated with only modest improvement in local practice.

Cited by 57 publications

References 9 publications

‘Haltlose’ type personality disorder (ICD-10 F60.8)

‘Haltlose’ type personality disorder (ICD-10 F60.8)

Improving ECT practice with a care pathway: hits and misses

The Electroconvulsive Therapy Accreditation Service

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