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A re-audit of ECT training and practice

Published online by Cambridge University Press:  02 January 2018

Farida Yousaf ,
Martin Lee  and
Jose King
Farida Yousaf
Affiliation:
Surrey Oaklands NHS Trust, 23 High Street, Leatherhead, Surrey KT22 8AB
Martin Lee
Affiliation:
St Helier NHS Trust 36–38 High Street Carshalton, Surrey SM5 3AG
Jose King*
Affiliation:
Henderson Hospital, 2 Homeland Drive, Brighton Road, Sutton, Surrey SM2 5LT
*
∗Correspondence
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Abstract

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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.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 7: The Journal of Trends in Psychiatric Practice , July 1999 , pp. 419 - 421
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 © 1999 The Royal College of Psychiatrists

References

Duffett, R. & Lelliot, P. (1998) Auditing electroconvulsive therapy. The third cycle. British Journal of Psychiatry, 172, 401 405.Google Scholar
Hill-Smith, A. J. & Lee, M. S. (1992) ECT – current practical administration. Psychiatric Bulletin, 16. 269 271.Google Scholar
Pippard, J. (1992) Audit of electroconvulsive treatment in two national health service regions. British Journal of Psychiatry, 160, 621 631.Google Scholar
Pippard, J. & Ellam, L. (1981) Electroconvulsive treatment in Great Britain: a report to the College. British Journal of Psychiatry, 139, 563 568.Google Scholar
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.Google Scholar
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