Increasing Abnormal Involuntary Movement Scale (AIMS) Screening for Tardive Dyskinesia in an Outpatient Psychiatry Clinic: A Resident-Led Outpatient Lean Six Sigma Initiative

被引：1

作者：

Chakrabarty, Arindam C. ^{[1
]}

Bennett, Jeffrey I. ^{[1
]}

Baloch, Talha J. ^{[2
]}

Shah, Rohit P. ^{[1
]}

Hawk, Cassie ^{[3
]}

Natof, Tyler ^{[1
]}

机构：

[1] Southern Illinois Univ, Sch Med, Psychiat, Springfield, IL 62702 USA

[2] Comprehens Psych Solut, Psychiat, Chicago, IL USA

[3] Decatur Mem Hosp, Qual & Safety, Decatur, IL USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2023年 / 15卷 / 05期

关键词：

medication side -effects; psychotropic medications; serious mental illness; resident education; quality; improvement; lean six sigma; aims screening; tardive dyskinesia;

D O I：

10.7759/cureus.39486

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective To increase compliance with Abnormal Involuntary Movement Score (AIMS) documentation for patients taking antipsychotics to recognize and treat tardive dyskinesia in the psychiatry outpatient clinic. Methods The Lean Six Sigma quality improvement (QI) model, utilizing DMAIC steps of define, measure, analyze, improve, control, was followed. Psychiatry attendings and residents were surveyed to assess reasons for AIMS non-documentation, and they ranked their preferred solutions to increase compliance. A random sample of patient charts for individuals on antipsychotic medications was obtained to determine AIMS documentation compliance prior to and following the implementation of improvements. Results The most highly ranked solution was implementing a one-hour AIMS training session. Three months post -intervention, a random sample of 60 patient charts showed that 87% (52/60) of patients had AIMS documented which was a significant increase compared to 3% (1/30) pre-intervention (p<0.001). Conclusion An annual, one-hour AIMS training session for residents improved rates of AIMS documentation.

引用

页数：9