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How to change prescribing of hypnotics

Published online by Cambridge University Press:  02 January 2018

G. Harborne  and
L. Tudor
G. Harborne
Affiliation:
The North Wales Hospital
L. Tudor
Affiliation:
The North Wales Hospital, Denbigh, Clwyd LL16 5SS
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Abstract

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This paper charts the progress of a continuing audit cycle of prescribing of hypnotics in a psychiatric hospital. First we reviewed some possible standards from the literature, then educated the prescribing doctors, and fed back to them their own patterns of prescribing. We present the results of this exercise repeated over 18 months; these show a change and general improvement in prescribing patterns. Finally we discuss some of the motivations and possible mechanisms behind these changes, and the implications for the audit process in general.

Type
Audit
Information
Psychiatric Bulletin , Volume 19 , Issue 3 , March 1995 , pp. 155 - 157
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Royal College of Psychiatrists, 1994

References

ABPI Data Sheet Compendium (1992) Compiled by Walker, G., Datapharm Publications Ltd. London.Google Scholar
Ashton, H. (1984) Benzodiazepine withdrawal: an unfinished story. British Medical Journal 288, 1135–1140.Google Scholar
British National Formulary (1993) Hypnotics, No 26, 133.Google Scholar
Committee on safety of Medicines (1988) Benzodiazepines, dependence and withdrawal symptoms. Current Problems, no 21.Google Scholar
Delamothe, T. (1993) Wanted: guidelines that doctors will follow. British Medical Journal 307, 218.Google Scholar
Drug and Therapeutics Bulletin (1985) Some problems with benzodiazepines, 23, 21–23.Google Scholar
Grandia, L. D. (1990) Intermountain health care's quality management strategy: the help system. International Journal of Health Care Quality Assurance, 3, 27–32.CrossRefGoogle Scholar
Jacyna, M. R. (1992) Pros and cons of medical audit a conversation with a sceptic. Hospital Update, July, 512–518.Google Scholar
Lomas, J. et al (1991) Opinion leaders vs audit and feedback to implement practice guidelines. Journal of American Medical Association, 265, 2202–2207.Google Scholar
Mental Health Foundation (1993) Guidelines for the Prevention and Treatment of Benzodiazepine Dependence. Edited by Russel, J. and Lader, M. London: The Mental Health Foundation.Google Scholar
Muijen, M. & Silverstone, T. A. (1987) Comparative hospital survey of psychotropic drug prescribing. British Journal of Psychiatry, 150; 501–504.Google Scholar
Royal College of Psychiatrists (1988) Benzodiazepines and Dependence: a College statement. Psychiatric Bulletin, 12, 107–108. Royal College of Psychiatrists.Google Scholar
Royal College of Psychiatrists (1989) Preliminary report on medical audit. Psychiatric Bulletin, 13, 577–580.Google Scholar
Royal College of Psychiatrists (1992) Patient Fact Sheet Tranquillisers and antidepressants: what you should know. London: Royal College of Psychiatrists.Google Scholar
Secretaries of State for Health, Wales, Northern Ireland, and Scotland (1989) Working for Patients. London: HMSO, working paper 6.Google Scholar
Shaw, C. D. & Costain, D. W. (1989) Guidelines for medical audit seven principles. British Medical Journal 200, 498–499.Google Scholar
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