Book contents
- Frontmatter
- Contents
- Editors
- Contributors
- Foreword
- Preface
- Introduction
- Completing an audit project
- I Disorders
- II Legislation
- III Physical health
- 28 Diabetes: management
- 29 Infection control
- 30 Metabolic side-effects of antipsychotics
- 31 Metabolic syndrome
- 32 Monitoring growth and blood pressure in children with attention-deficit hyperactivity disorder
- 33 Physical examinations: equipment
- 34 Physical health of in-patients: assessment
- 35 Physical health of in-patients: record-keeping
- 36 Physical health of patients with severe mental illness
- 37 Screening for blood-borne viruses
- 38 Screening for breast and cervical cancer
- 39 Smoking cessation
- 40 Testing for illicit drug use
- 41 Venepuncture equipment
- IV Record-keeping
- V Service provision
- VI Training
- VII Treatment
- Appendices
37 - Screening for blood-borne viruses
from III - Physical health
Published online by Cambridge University Press: 02 January 2018
- Frontmatter
- Contents
- Editors
- Contributors
- Foreword
- Preface
- Introduction
- Completing an audit project
- I Disorders
- II Legislation
- III Physical health
- 28 Diabetes: management
- 29 Infection control
- 30 Metabolic side-effects of antipsychotics
- 31 Metabolic syndrome
- 32 Monitoring growth and blood pressure in children with attention-deficit hyperactivity disorder
- 33 Physical examinations: equipment
- 34 Physical health of in-patients: assessment
- 35 Physical health of in-patients: record-keeping
- 36 Physical health of patients with severe mental illness
- 37 Screening for blood-borne viruses
- 38 Screening for breast and cervical cancer
- 39 Smoking cessation
- 40 Testing for illicit drug use
- 41 Venepuncture equipment
- IV Record-keeping
- V Service provision
- VI Training
- VII Treatment
- Appendices
Summary
Setting
This audit may be particularly relevant to substance misuse services, where a high proportion of patients are intravenous drug users (IVDUs). It can be conducted in both out-patient and in-patient services, but may be better suited to the former.
Background
It is important that patients at high risk of becoming infected with a blood-borne viruses (BBV) are regularly screened, for both treatment and infection control purposes. This has been highlighted by the National Institute for Health and Clinical Excellence (NICE) (2007).
Standards
Standards were obtained from the NICE 2007 guideline on opioid detoxification. Two standards were of particular relevance. First, at the start of contact with all IVDUs (i.e. who are new to the service) and for all IVDUs who are known to the service and have a risk history since last contact, there should be a documented discussion with the patient about testing for the following BBVs and, second, a test should be carried out for them:
ᐅ hepatitis B
ᐅ hepatitis C
ᐅ HIV.
The targets are that these standards are met in all patients in a substance misuse service.
Method
Data collection
Service administrators accessed a list of all new referrals to the service each month. This list was used as a basis to track case notes of new referrals. Data were collected over 3 months. The medical notes of these patients were examined to find entries documenting the following:
ᐅ discussion with the patient about testing for BBVs
ᐅ documentation that testing was carried out for BBVs.
Data analysis
The percentage of patients for whom the following standards were met was calculated:
ᐅ For all new referrals to the service in the 3-month period:
▹ documentation of discussion about each BBV
▹ documentation of testing for each BBV.
ᐅ For all IVDUs referred to the service in the 3-month period:
▹ documentation of discussion about each BBV
▹ documentation of testing for each BBV.
Resources required
People
The audit was undertaken by one person.
Time
Approximately 10 hours was required to collect data from 20–30 new referrals in a month.
- Type
- Chapter
- Information
- 101 Recipes for Audit in Psychiatry , pp. 97 - 98Publisher: Royal College of PsychiatristsPrint publication year: 2011