Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy

Jessa Hollingsworth, Beverly Baliko, Selina McKinney, Peter B. Rosenquist

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care; however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. Objective The objective of this project was to create a quality assurance strategy specific to ECT. Determining standards for quality care and clarifying facility policy were key outcomes in establishing an effective quality assurance strategy. Methods An audit tool was developed utilizing quality criteria derived from a systematic review of ECT practice guidelines, peer review, and facility policy. All ECT procedures occurring over a 2-month period of May to June 2017 were retrospectively audited and compared against target compliance rates set for the facility's ECT program. Facility policy was adapted to reflect quality standards, and audit findings were used to inform possible practice change initiatives, were used to create benchmarks for continuous quality monitoring, and were integrated into regular hospital quality meetings. Results Clarification on standards of care and the use of clinical auditing in ECT was an effective starting point in the development of a quality assurance strategy. Audit findings were successfully integrated into the hospital's overall quality program, and recognition of practice compliance informed areas for future quality development and policy revision in this small community-based hospital in the southeastern United States. Conclusions This project sets the foundation for a quality assurance strategy that can be used to help monitor procedural safety and guide future improvement efforts in delivering ECT. Although it is just the first step in creating meaningful quality improvement, setting clear standards and identifying areas of greatest clinical need were crucial beginning for this hospital's growing program.

Original languageEnglish (US)
Pages (from-to)21-26
Number of pages6
JournalJournal of ECT
Volume35
Issue number1
DOIs
StatePublished - Mar 1 2019

Fingerprint

Electroconvulsive Therapy
Practice Guidelines
Southeastern United States
Safety
Benchmarking
Peer Review
Quality of Health Care
Policy Making
Community Hospital
Standard of Care
Quality Improvement
Psychiatry
Guidelines

Keywords

  • audit
  • electroconvulsive therapy
  • quality assurance

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Psychiatry and Mental health

Cite this

Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy. / Hollingsworth, Jessa; Baliko, Beverly; McKinney, Selina; Rosenquist, Peter B.

In: Journal of ECT, Vol. 35, No. 1, 01.03.2019, p. 21-26.

Research output: Contribution to journalArticle

Hollingsworth, Jessa ; Baliko, Beverly ; McKinney, Selina ; Rosenquist, Peter B. / Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy. In: Journal of ECT. 2019 ; Vol. 35, No. 1. pp. 21-26.
@article{6fe447432b624138a35bcfdd9443dfb6,
title = "Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy",
abstract = "Background The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care; however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. Objective The objective of this project was to create a quality assurance strategy specific to ECT. Determining standards for quality care and clarifying facility policy were key outcomes in establishing an effective quality assurance strategy. Methods An audit tool was developed utilizing quality criteria derived from a systematic review of ECT practice guidelines, peer review, and facility policy. All ECT procedures occurring over a 2-month period of May to June 2017 were retrospectively audited and compared against target compliance rates set for the facility's ECT program. Facility policy was adapted to reflect quality standards, and audit findings were used to inform possible practice change initiatives, were used to create benchmarks for continuous quality monitoring, and were integrated into regular hospital quality meetings. Results Clarification on standards of care and the use of clinical auditing in ECT was an effective starting point in the development of a quality assurance strategy. Audit findings were successfully integrated into the hospital's overall quality program, and recognition of practice compliance informed areas for future quality development and policy revision in this small community-based hospital in the southeastern United States. Conclusions This project sets the foundation for a quality assurance strategy that can be used to help monitor procedural safety and guide future improvement efforts in delivering ECT. Although it is just the first step in creating meaningful quality improvement, setting clear standards and identifying areas of greatest clinical need were crucial beginning for this hospital's growing program.",
keywords = "audit, electroconvulsive therapy, quality assurance",
author = "Jessa Hollingsworth and Beverly Baliko and Selina McKinney and Rosenquist, {Peter B.}",
year = "2019",
month = "3",
day = "1",
doi = "10.1097/YCT.0000000000000497",
language = "English (US)",
volume = "35",
pages = "21--26",
journal = "Journal of ECT",
issn = "1095-0680",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Developing and Implementing a Quality Assurance Strategy for Electroconvulsive Therapy

AU - Hollingsworth, Jessa

AU - Baliko, Beverly

AU - McKinney, Selina

AU - Rosenquist, Peter B.

PY - 2019/3/1

Y1 - 2019/3/1

N2 - Background The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care; however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. Objective The objective of this project was to create a quality assurance strategy specific to ECT. Determining standards for quality care and clarifying facility policy were key outcomes in establishing an effective quality assurance strategy. Methods An audit tool was developed utilizing quality criteria derived from a systematic review of ECT practice guidelines, peer review, and facility policy. All ECT procedures occurring over a 2-month period of May to June 2017 were retrospectively audited and compared against target compliance rates set for the facility's ECT program. Facility policy was adapted to reflect quality standards, and audit findings were used to inform possible practice change initiatives, were used to create benchmarks for continuous quality monitoring, and were integrated into regular hospital quality meetings. Results Clarification on standards of care and the use of clinical auditing in ECT was an effective starting point in the development of a quality assurance strategy. Audit findings were successfully integrated into the hospital's overall quality program, and recognition of practice compliance informed areas for future quality development and policy revision in this small community-based hospital in the southeastern United States. Conclusions This project sets the foundation for a quality assurance strategy that can be used to help monitor procedural safety and guide future improvement efforts in delivering ECT. Although it is just the first step in creating meaningful quality improvement, setting clear standards and identifying areas of greatest clinical need were crucial beginning for this hospital's growing program.

AB - Background The literature provides scant guidance in effective quality assurance strategies concerning the use of electroconvulsive therapy (ECT) for the treatment of psychiatric conditions. Numerous guidelines are published that provide guidance in the delivery of care; however, little has been done to determine how a program or facility might ensure compliance to best practice for safety, tolerability, and efficacy in performing ECT. Objective The objective of this project was to create a quality assurance strategy specific to ECT. Determining standards for quality care and clarifying facility policy were key outcomes in establishing an effective quality assurance strategy. Methods An audit tool was developed utilizing quality criteria derived from a systematic review of ECT practice guidelines, peer review, and facility policy. All ECT procedures occurring over a 2-month period of May to June 2017 were retrospectively audited and compared against target compliance rates set for the facility's ECT program. Facility policy was adapted to reflect quality standards, and audit findings were used to inform possible practice change initiatives, were used to create benchmarks for continuous quality monitoring, and were integrated into regular hospital quality meetings. Results Clarification on standards of care and the use of clinical auditing in ECT was an effective starting point in the development of a quality assurance strategy. Audit findings were successfully integrated into the hospital's overall quality program, and recognition of practice compliance informed areas for future quality development and policy revision in this small community-based hospital in the southeastern United States. Conclusions This project sets the foundation for a quality assurance strategy that can be used to help monitor procedural safety and guide future improvement efforts in delivering ECT. Although it is just the first step in creating meaningful quality improvement, setting clear standards and identifying areas of greatest clinical need were crucial beginning for this hospital's growing program.

KW - audit

KW - electroconvulsive therapy

KW - quality assurance

UR - http://www.scopus.com/inward/record.url?scp=85061985031&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061985031&partnerID=8YFLogxK

U2 - 10.1097/YCT.0000000000000497

DO - 10.1097/YCT.0000000000000497

M3 - Article

VL - 35

SP - 21

EP - 26

JO - Journal of ECT

JF - Journal of ECT

SN - 1095-0680

IS - 1

ER -