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Audit Reviewing Consent for Electro Convulsive Therapy

AIMS: The National Institute for Health and Clinical Excellence (NICE) recommends that valid consent be sought for Electro Convulsive Therapy (ECT) in all instances where the individual has the capacity to provide or deny consent. Individuals should get comprehensive information on the general risks...

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Autores principales: Ansari, Saba, Maiya, Sujatha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378118/
http://dx.doi.org/10.1192/bjo.2022.271
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author Ansari, Saba
Maiya, Sujatha
author_facet Ansari, Saba
Maiya, Sujatha
author_sort Ansari, Saba
collection PubMed
description AIMS: The National Institute for Health and Clinical Excellence (NICE) recommends that valid consent be sought for Electro Convulsive Therapy (ECT) in all instances where the individual has the capacity to provide or deny consent. Individuals should get comprehensive information on the general risks and potential advantages of ECT. When informed consent and decision-making are not possible, advance directives are fully considered, and the individual's advocate and caregiver are consulted. Additionally, patients should be informed that they can discontinue treatment at any moment. The purpose of this audit is to determine whether we are adhering to the NICE-recommended standards and recommendations. METHODS: This is a retrospective audit looking at case notes from the last 30 individuals who received ECT at University Hospital Wishaw. Individuals' electronic and paper light notes were analysed for data. 1. Documentation about adequate information given. 2. Documentation of risks and benefits explained. 3. Documentation of information given about withdrawing consent. 1. Number of cases who received urgent ECT under Mental Health Act (Scotland) with Record of notification on T4 form. 2. Number of cases who received ECT under Mental Health Act (Scotland) with Certificate of the designated medical practitioner completing T3A form. 3. Number of cases who regained capacity to consent for ECT during the course of treatment and had appropriate informed consent with Certificate of consent to treatment completed on T2 form. 4. Did any of the cases have Advance Statement either for or against having ECT as a treatment option for them? RESULTS: Observations of the data collected revealed that over 30% of cases lacked the documentation proposed by NICE standards. Only 25% of cases with complete documentation were informal patients, whereas the remaining 75% received ECT under the Mental Health Act Scotland. CONCLUSION: Based on the observations, this audit establishes that our results do not meet generally accepted standards. The full results will be disseminated with appropriate recommendations to the prescribing Consultant Psychiatrists. This Audit process has also prompted us to redesign the ECT booklet to include the required documents in accordance with standards.
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spelling pubmed-93781182022-08-18 Audit Reviewing Consent for Electro Convulsive Therapy Ansari, Saba Maiya, Sujatha BJPsych Open Quality Improvement AIMS: The National Institute for Health and Clinical Excellence (NICE) recommends that valid consent be sought for Electro Convulsive Therapy (ECT) in all instances where the individual has the capacity to provide or deny consent. Individuals should get comprehensive information on the general risks and potential advantages of ECT. When informed consent and decision-making are not possible, advance directives are fully considered, and the individual's advocate and caregiver are consulted. Additionally, patients should be informed that they can discontinue treatment at any moment. The purpose of this audit is to determine whether we are adhering to the NICE-recommended standards and recommendations. METHODS: This is a retrospective audit looking at case notes from the last 30 individuals who received ECT at University Hospital Wishaw. Individuals' electronic and paper light notes were analysed for data. 1. Documentation about adequate information given. 2. Documentation of risks and benefits explained. 3. Documentation of information given about withdrawing consent. 1. Number of cases who received urgent ECT under Mental Health Act (Scotland) with Record of notification on T4 form. 2. Number of cases who received ECT under Mental Health Act (Scotland) with Certificate of the designated medical practitioner completing T3A form. 3. Number of cases who regained capacity to consent for ECT during the course of treatment and had appropriate informed consent with Certificate of consent to treatment completed on T2 form. 4. Did any of the cases have Advance Statement either for or against having ECT as a treatment option for them? RESULTS: Observations of the data collected revealed that over 30% of cases lacked the documentation proposed by NICE standards. Only 25% of cases with complete documentation were informal patients, whereas the remaining 75% received ECT under the Mental Health Act Scotland. CONCLUSION: Based on the observations, this audit establishes that our results do not meet generally accepted standards. The full results will be disseminated with appropriate recommendations to the prescribing Consultant Psychiatrists. This Audit process has also prompted us to redesign the ECT booklet to include the required documents in accordance with standards. Cambridge University Press 2022-06-20 /pmc/articles/PMC9378118/ http://dx.doi.org/10.1192/bjo.2022.271 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Quality Improvement
Ansari, Saba
Maiya, Sujatha
Audit Reviewing Consent for Electro Convulsive Therapy
title Audit Reviewing Consent for Electro Convulsive Therapy
title_full Audit Reviewing Consent for Electro Convulsive Therapy
title_fullStr Audit Reviewing Consent for Electro Convulsive Therapy
title_full_unstemmed Audit Reviewing Consent for Electro Convulsive Therapy
title_short Audit Reviewing Consent for Electro Convulsive Therapy
title_sort audit reviewing consent for electro convulsive therapy
topic Quality Improvement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9378118/
http://dx.doi.org/10.1192/bjo.2022.271
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