scholarly journals Attitudes of mental health practitioners to the Hippocratic Oath: tradition and modernity in psychiatry

2006 ◽  
Vol 30 (9) ◽  
pp. 327-329
Author(s):  
Marek Marzanski ◽  
Tim Coupe ◽  
Padmapriya Musunuri
Keyword(s):  
Mental Health ◽  
Medical Staff ◽  
Hippocratic Oath ◽  
Postal Questionnaire ◽  
Mental Health Practitioners ◽  
Clinical Implications ◽  
Health Unit ◽  
Health Practitioners ◽  
Mental Health Unit ◽  
Ethical Basis

Aims and MethodTo establish whether psychiatrists believe that medicine should be practised according to the principles of the Hippocratic Oath, an anonymised postal questionnaire survey was conducted of all medical staff at the Caludon Centre, an 80-bed in-patient mental health unit in Coventry.ResultsThirty-three respondents (82.5%) believed that medicine should be practised according to the Oath. Support for the 15 separate statements derived from the Oath varied considerably.Clinical ImplicationsThe principles of the Oath remain an important guide to the ethical basis of medical practice for most medical staff surveyed.

scholarly journals Improving prescription quality in an in-patient mental health unit: three cycles of clinical audit

2007 ◽  
Vol 31 (8) ◽  
pp. 293-294 ◽  
Author(s):  
Priti Ved ◽  
Tim Coupe
Keyword(s):  
Mental Health ◽  
Medical Staff ◽  
Clinical Audit ◽  
Clinical Implications ◽  
Health Unit ◽  
Patient Age ◽  
Patient Âgé ◽  
Mental Health Unit

Aims and MethodWe undertook three cycles of clinical audit of prescription charts to improve the quality of the prescriptions written in an in-patient unit. Pharmacy and medical staff reviewed a total of 1466 prescriptions on 242 prescription charts against local guidelines and provided feedback to medical staff. The pharmacist also regularly reviewed prescription charts on the wards between audits.ResultsAfter three cycles of audit, 99.5% of prescriptions written were legible. The recording of drug allergies, section 58 status and patient age remained poor.Clinical ImplicationsA combination of clinical audit and continual pharmacist review of prescription charts can improve the quality of prescriptions written by medical staff in an in-patient unit.

scholarly journals Effectiveness of audit in improving interview room safety

2001 ◽  
Vol 25 (3) ◽  
pp. 92-94 ◽  
Author(s):  
David P. J. Osborn ◽  
Sylvia Tang
Keyword(s):  
Mental Health ◽  
Clinical Implications ◽  
Health Unit ◽  
Audit Process ◽  
Clinical Interviews ◽  
Safety Standards ◽  
Pilot Survey ◽  
Audit Cycle ◽  
Safety Features ◽  
Mental Health Unit

Aims and MethodsSafety features of rooms used for clinical interviews were assessed throughout our mental health unit. Following this pilot survey, 12 safety standards were agreed and adopted by a multi-disciplinary audit meeting. Recommendations were disseminated throughout the trust. Adherence to the accepted standards for interview room safety was assessed at 6 months and 1 year after baseline. Following each assessment, results were presented so that the audit cycle was completed twice.ResultsAt 6 months 46 interview rooms were assessed against the 12 accepted standards and many were found to be unsatisfactory. After presentation of these results, the 1 year assessment discovered few changes in safety features of the 50 rooms now being used.Clinical ImplicationsUnsafe rooms compromise the safety of staff and patients and this is clearly unacceptable. The audit process in itself failed as amethod of improving standards.

scholarly journals Audit of disposal of clinically confidential information

2004 ◽  
Vol 28 (9) ◽  
pp. 324-325 ◽  
Author(s):  
Craige Dietrich ◽  
Zahir Khan ◽  
James Warner
Keyword(s):  
Mental Health ◽  
Patient Care ◽  
Clinical Implications ◽  
Sensitive Information ◽  
Health Unit ◽  
Confidential Information ◽  
Safe Disposal ◽  
Highly Sensitive ◽  
Mental Health Unit

Aims and MethodWe conducted a 3-cycle audit of disposal of clinically sensitive information in a mental health unit, in order to identify and reduce potential breaches in patients' confidentiality. Material from waste bins in administrative areas of a mental health unit was examined every evening during each period of the audit.ResultsThe first search, conducted over a 3-week period, yielded 11 documents containing highly-sensitive information about patients. After feedback to staff and improvement of shredding facilities, no sensitive information was found during the follow-up 3-week survey, 3 months later. However, a third survey 2 years later found 24 highly-sensitive items after one week, despite shredding facilities being maintained.Clinical ImplicationsChanges in behaviour identified in this audit appear to be due to education rather than improved facilities. All staff involved in patient care need to maintain awareness of the need for safe disposal of confidential material.

scholarly journals A qualitative exploration of the barriers to and facilitators of clozapine monitoring in a secure psychiatric setting

2020 ◽  
pp. 1-7
Author(s):  
Sarah Blagden ◽  
Jane Beenstock ◽  
Natalie Auld ◽  
Steve Noblett ◽  
Mark Limmer
Keyword(s):  
Mental Health ◽  
Focus Groups ◽  
Clinical Implications ◽  
Health Unit ◽  
Structured Interviews ◽  
Staff Members ◽  
Psychiatric Setting ◽  
Important Barrier ◽  
Qualitative Exploration ◽  
Mental Health Unit

Aims and method To explore the beliefs and understanding of staff and patients at a secure mental health unit regarding clozapine monitoring, and to identify barriers to and facilitators of monitoring. Qualitative semi-structured interviews and focus groups were conducted with 17 staff members and six patients. Results Six key themes were identified. The key facilitator of effective monitoring was the motivation of staff to help patients to become independent and facilitate recovery. An important barrier was a lack of clarity around the roles of different staff groups in monitoring. Staff and patients widely supported the establishment of an in-patient clozapine clinic and perceived that it would prepare patients for discharge. Clinical implications An in-patient clozapine clinic is a robust mechanism for clozapine monitoring in secure settings. The barriers and facilitators identified here could be applied to other secure units to guide their systems of clozapine monitoring.

scholarly journals Multiple Relationships and Therapy: When 6 degrees of separation is not possible

2019 ◽  
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Rural Areas ◽  
Mental Health Practitioners ◽  
Dual Relationships ◽  
Clinical Implications ◽  
Multiple Relationships ◽  
Unique Problem ◽  
Small Communities ◽  
Health Practitioners

Dual relationships pose a unique problem for mental health practitioners in rural areas. They are often unavoidable and require special considerations to effectively and ethically navigate. The case studies presented explore the complications that are often presented within these contexts, and provides clinical implications for therapist practicing in rural and/or small communities.

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