Search

Filter

  • Advanced Filters:

  • to

  • Specific Data Sources:

    All Edit

    Select All  |  Select None

Reset filters

Journals Psychiatric Services Volume 62 Issue 10

Send correspondence to Dr. Finnerty, 1051 Riverside Dr., Unit 100, New York, NY 10032 (email: molly.finnerty{at}omh.ny.gov ). William M. Glazer, M.D., is editor of this column. This column describes a series of interventions to decrease antipsychotic polypharmacy in the New York State Office of Mental Health (NYSOMH) network of psychiatric hospitals. Phase 1 consisted of implementation of the Psychiatric Services Clinical Knowledge Enhancement System (PSYCKES), a Web-based application supporting clinical decision making and quality improvement, and a policy requiring approval by NYSOMH's medical director to prescribe more than two antipsychotics per patient. In phase 2 hospital leaders received feedback from the office of the medical director identifying specific patients on polypharmacy. In phase 3, access to PSYCKES continued, but the prior-approval policy and feedback were discontinued. Polypharmacy decreased significantly during phase 1, from 16.9 to 9.7 inpatients per 1,000, and decreased further in phase 2, to 3.9 inpatients per 1,000. In phase 3 the prevalence of antipsychotic polypharmacy remained low at six-month follow-up (3.1 inpatients per 1,000), despite the ending of state-level oversight. On long-term follow-up, polypharmacy increased, eventually rising to 9.2 inpatients per 1,000 after 36 months, but remained well below baseline levels. ( Psychiatric Services 62:1124–1126, 2011) Get information about faster international access.</ a> Privacy Policy Copyright © 2011 American Psychiatric Association. All rights reserved. Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us CM8ShowAd("Bottom"); CM8ShowAd("Bottom_2"); CM8ShowAd("Vertical"); CM8ShowAd("Vertical_2"); CM8ShowAd("Vertical_3"); CM8ShowAd("Vertical_4"); _uacct = "UA-2271345-8"; _udn="psychiatryonline.org"; urchinTracker(); var _rsCI="us-americanpsych"; var _rsCG="0"; var _rsDN="//secure-us.imrworldwide.com/"; var _rsPLfl=0; var _rsSE=1; var _rsSM=1.0;

Best Practices: Long-Term Impact of Web-Based Tools, Leadership Feedback, and Policies on Inpatient Antipsychotic Polypharmacy

Abstract

Send correspondence to Dr. Finnerty, 1051 Riverside Dr., Unit 100, New York, NY 10032 (email: molly.finnerty{at}omh.ny.gov ). William M. Glazer, M.D., is editor of this column. This column describes a series of interventions to decrease antipsychotic polypharmacy in the New York State Office of Mental Health (NYSOMH) network of psychiatric hospitals. Phase 1 consisted of implementation of the Psychiatric Services Clinical Knowledge Enhancement System (PSYCKES), a Web-based application supporting clinical decision making and quality improvement, and a policy requiring approval by NYSOMH's medical director to prescribe more than two antipsychotics per patient. In phase 2 hospital leaders received feedback from the office of the medical director identifying specific patients on polypharmacy. In phase 3, access to PSYCKES continued, but the prior-approval policy and feedback were discontinued. Polypharmacy decreased significantly during phase 1, from 16.9 to 9.7 inpatients per 1,000, and decreased further in phase 2, to 3.9 inpatients per 1,000. In phase 3 the prevalence of antipsychotic polypharmacy remained low at six-month follow-up (3.1 inpatients per 1,000), despite the ending of state-level oversight. On long-term follow-up, polypharmacy increased, eventually rising to 9.2 inpatients per 1,000 after 36 months, but remained well below baseline levels. ( Psychiatric Services 62:1124–1126, 2011) Get information about faster international access.</ a> Privacy Policy Copyright © 2011 American Psychiatric Association. All rights reserved. Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us CM8ShowAd("Bottom"); CM8ShowAd("Bottom_2"); CM8ShowAd("Vertical"); CM8ShowAd("Vertical_2"); CM8ShowAd("Vertical_3"); CM8ShowAd("Vertical_4"); _uacct = "UA-2271345-8"; _udn="psychiatryonline.org"; urchinTracker(); var _rsCI="us-americanpsych"; var _rsCG="0"; var _rsDN="//secure-us.imrworldwide.com/"; var _rsPLfl=0; var _rsSE=1; var _rsSM=1.0;
Loading next page...

If you're having problem loading pages
Try our single-page mode to load one page at a time

Preview Only. This article cannot be rented because we do not currently have permission from the publisher.

/lp/american-psychiatric-publishing-inc-journal/best-practices-long-term-impact-of-web-based-tools-leadership-feedback-muDc8qxp90
Welcome to DeepDyve! Rent Premier Research Articles and Save Up to 90%

Learn more

Preview Only

Bookmark

Best Practices: Long-Term Impact of Web-Based Tools, Leadership Feedback, and Policies on Inpatient Antipsychotic Polypharmacy

Finnerty, Molly T.; Kealey, Edith; Leckman-Westin, Emily; Gupta, Nitin; White, Thomas M.; Engel, Gerald M.; Opler, Lewis A.
Psychiatric Services , Volume 62 (10): 1124
American Psychiatric Publishing, Inc (Journal) – Oct 1, 2011

More Info
  • Publisher Am Psychiatric Assoc
  • Copyright Copyright © 2011 American Psychiatric Association. All rights reserved.
  • ISSN 1075-2730
  • eISSN 1557-9700
  • D.O.I. 10.1176/appi.ps.62.10.1124
  • Publisher site Get PDF  

More Like This Article

View All dataSource[]=actageo&dataSource[]=aspet&dataSource[]=aaos&dataSource[]=aacc&dataSource[]=aacr&dataSource[]=aea&dataSource[]=aip&dataSource[]=ajnr&dataSource[]=ams&dataSource[]=aps_physical&dataSource[]=appi_book&dataSource[]=appi_journal&dataSource[]=apha&dataSource[]=asip&dataSource[]=asm&dataSource[]=asn&dataSource[]=aspb&dataSource[]=avs&dataSource[]=annual_reviews&dataSource[]=arxiv&dataSource[]=acm&dataSource[]=berghahn&dataSource[]=cabi&dataSource[]=clinical_trials&dataSource[]=dailymed&dataSource[]=degruyter&dataSource[]=du_press&dataSource[]=esa&dataSource[]=eu_press&dataSource[]=elsevier&dataSource[]=emerald&dataSource[]=ejtr&dataSource[]=emea&dataSource[]=epo&dataSource[]=faseb&dataSource[]=gsa&dataSource[]=health_affairs&dataSource[]=hindawi&dataSource[]=imanager&dataSource[]=imedpub&dataSource[]=informa_healthcare&dataSource[]=informs&dataSource[]=iop&dataSource[]=iucr&dataSource[]=iospress&dataSource[]=jbjs&dataSource[]=leftcoast&dataSource[]=lu_press&dataSource[]=mesharpe&dataSource[]=mary_ann_liebert&dataSource[]=medline&dataSource[]=mit_press&dataSource[]=nature&dataSource[]=oxford&dataSource[]=pier_professional&dataSource[]=pnas&dataSource[]=portlandpress&dataSource[]=psyc_articles&dataSource[]=psyc_books&dataSource[]=psyc_critiques&dataSource[]=plos_journal&dataSource[]=pubmed_central&dataSource[]=rsna&dataSource[]=rockefeller&dataSource[]=rcn&dataSource[]=ria&dataSource[]=rsc&dataSource[]=sage&dataSource[]=spie&dataSource[]=springer_journal&dataSource[]=springer&dataSource[]=taylor_francis&dataSource[]=aps&dataSource[]=the_scientist&dataSource[]=uc_press&dataSource[]=uspto_abstract&dataSource[]=wiley&dataSource[]=pct

Browse: Subject Areas | Journals | Publishers

Sign Up for a DeepDyve Account

Bookmark an Article

To bookmark an article, please log in first, or sign up for a DeepDyve account if you don't already have one.

OK

Subscribe to Journal Email Alerts

To subscribe to email alerts, please log in first, or sign up for a DeepDyve account if you don't already have one.

OK

Thank you for renting with DeepDyve

Your PayPal account has been charged $. You now have access to the full text of this article. A rental receipt has also been sent to your email address.

Your credit card has been charged $. You now have access to the full text of this article. A rental receipt has also been sent to your email address.

OK

New! You can now keep track of new articles from Psychiatric Services on your personalized homepage! Learn more

PDF Download — Not Available

Thanks for your interest in purchasing the PDF. Your request has been noted and we will work with our publisher partner to discuss enabling this feature.

In the meantime, you can get the PDF by visiting the publisher site.

Thank you for purchasing with DeepDyve

Your PayPal account has been charged $.

Your credit card has been charged $.

You can now download this article. A purchase receipt has also been sent to your email address.

Download This Article or I'm done with my download

Print Page — Not Available

Thanks for your interest in printing individual pages. Your request has been noted and we will work with our publisher partner to discuss enabling this feature.

In the meantime, you can get the PDF by visiting the publisher site.

Thank you for printing with DeepDyve

Your PayPal account has been charged $0.

Your credit card has been charged $0.

You can now print this article. A purchase receipt has also been sent to your email address.

Print the Selected Pages or I'm done with my printing

Please refresh to generate a new download link

Your article download link has expired. Please refresh this page to obtain a new download link and try again.

Follow a Journal

To get new article updates from a journal on your personalized homepage, please log in first, or sign up for a DeepDyve account if you don't already have one.

OK