Persistence of metabolic monitoring for psychiatry inpatients treated with second-generation antipsychotics utilizing a computer-based intervention

This article goes over a novel technique to try and improve the quality of patient metabolic monitoring during the use of 2nd generation antipsychotics by using a computer interface and pop-up alert system. Patients taking 2nd generation psychotics can have side effects related to essential metabolic processes. These effects can include weight gain, diabetes occurrence, and others. Therefore the efficiency and rate at which metabolic parameters are important to prevention of further health problems. The metabolic parameters being measured were blood glucose levels, hemoglobin A1C, and a lipid panel, which were then compared to to the initial implementation.

The goal of the study was to determine if the computer system with pop-up alerts was a better option than conventional methods by measuring the rate of monitoring in an inpatient setting. A total of 129 patients (159 in the initial cohort) were monitored and the study was carried out over a period of 4 years. A comparison was done between the computerized physician order entry (CPOE) pop-up alert system and the conventional systems via long term chart reviews. Patient chart reviews were also used to determine if monitoring improved patient outcomes or alerted medical personnel to health risks.

The end result of the study is that the new computer pop-up alert system to did not significantly change monitoring rates. Although there were interventions from the psychiatry team as a result of the computerized system, which shows potential for the use of the system in the future.

We are learning about 2nd generation antipsychotics currently in POP.

How do you think techonology could be better implemented in this special patient population to improve outcomes?

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Lee J, Dalack GW, Casher MI, et al. Persistence of metabolic monitoring for psychiatry inpatients treated with second generation antipsychotics utilizing a computer-based intervention.            J Clin Pharm Ther. 2016 Feb 26. doi: 10.1111/jcpt.12368.