Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing

Aims: High-dose antipsychotic therapy (HDAT) carries an increased risk of adverse effects, including metabolic syndrome and extrapyramidal side effects, requiring regular monitoring. However, adherence remains inconsistent due to challenges in patient attendance, staff awareness, and varying monitor...

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Main Authors: Nurul Ain Mohd Nizam, Isabelle Tighe, Claire Butler, Paul Harris
Format: Article
Language:English
Published: Cambridge University Press 2025-06-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472425104031/type/journal_article
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author Nurul Ain Mohd Nizam
Isabelle Tighe
Claire Butler
Paul Harris
author_facet Nurul Ain Mohd Nizam
Isabelle Tighe
Claire Butler
Paul Harris
author_sort Nurul Ain Mohd Nizam
collection DOAJ
description Aims: High-dose antipsychotic therapy (HDAT) carries an increased risk of adverse effects, including metabolic syndrome and extrapyramidal side effects, requiring regular monitoring. However, adherence remains inconsistent due to challenges in patient attendance, staff awareness, and varying monitoring intervals. This quality improvement project aimed to determine the prevalence of HDAT use in an assertive outreach team, assess adherence to the local trust HDAT monitoring guidelines, and implement a clinician-built HDAT Calculator and Tracker to improve monitoring efficiency.
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series BJPsych Open
spelling doaj-art-9df6562f0cb542feb20c593d5a859c322025-08-20T03:15:29ZengCambridge University PressBJPsych Open2056-47242025-06-0111S149S15010.1192/bjo.2025.10403Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe PrescribingNurul Ain Mohd Nizam0Isabelle Tighe1Claire Butler2Paul Harris3Sussex Partnership NHS Foundation Trust, Brighton, United KingdomSussex Partnership NHS Foundation Trust, Brighton, United KingdomSussex Partnership NHS Foundation Trust, Brighton, United KingdomSussex Partnership NHS Foundation Trust, Brighton, United KingdomAims: High-dose antipsychotic therapy (HDAT) carries an increased risk of adverse effects, including metabolic syndrome and extrapyramidal side effects, requiring regular monitoring. However, adherence remains inconsistent due to challenges in patient attendance, staff awareness, and varying monitoring intervals. This quality improvement project aimed to determine the prevalence of HDAT use in an assertive outreach team, assess adherence to the local trust HDAT monitoring guidelines, and implement a clinician-built HDAT Calculator and Tracker to improve monitoring efficiency.https://www.cambridge.org/core/product/identifier/S2056472425104031/type/journal_article
spellingShingle Nurul Ain Mohd Nizam
Isabelle Tighe
Claire Butler
Paul Harris
Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
BJPsych Open
title Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
title_full Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
title_fullStr Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
title_full_unstemmed Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
title_short Implementing a Clinician-Built High-Dose Antipsychotic Therapy (HDAT) Calculator and Tracker: A Quality Improvement Project to Optimise HDAT Monitoring and Safe Prescribing
title_sort implementing a clinician built high dose antipsychotic therapy hdat calculator and tracker a quality improvement project to optimise hdat monitoring and safe prescribing
url https://www.cambridge.org/core/product/identifier/S2056472425104031/type/journal_article
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