Relationship Between Anesthesia Depth and Quality of Seizures in Patients Undergoing Electroconvulsive Therapy

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lukas Gasteiger ◽  
Michel Heil ◽  
Elisabeth Hörner ◽  
Janine Andexer ◽  
Georg Kemmler ◽  
...  
Keyword(s):  
Electroconvulsive Therapy ◽  
Anesthesia Depth

Assessment of Patients’ views on the Quality of Care During Receiving Electroconvulsive Therapy in Psychiatric Ward

2021 ◽  
Vol 11 (2) ◽  
pp. 489-492
Author(s):  
Mohammad Salih Alkaisy ◽  
Ahmed Abdel Qader Suleiman ◽  
Mohammed Ibrahim Ramadan ◽  
Salem Shehab Ahmed ◽  
Nasir Muwfaq Younis ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Electroconvulsive Therapy ◽  
Psychiatric Ward

scholarly journals The Electroconvulsive Therapy Accreditation Service

2004 ◽  
Vol 28 (7) ◽  
pp. 257-259 ◽  
Author(s):  
Helen Caird ◽  
Adrian Worrall ◽  
Paul Lelliott
Keyword(s):  
Peer Review ◽  
Electroconvulsive Therapy ◽  
Royal College ◽  
College Of Nursing

The Electroconvulsive Therapy Accreditation Service (ECTAS) was launched in May 2003. Its purpose is to assure and improve the quality of the administration of electroconvulsive therapy. Participating clinics undergo a process of self- and peer-review. The Royal College of Psychiatrists' Court of Electors will award an accreditation rating to clinics that meet essential standards; this accreditation will last for 3 years, subject to annual self-review. Participating clinics will also receive feedback and advice about local strengths and areas for improvement. The accreditation service is endorsed by the Royal College of Nursing and the Royal College of Anaesthetists and has the support of the Healthcare Commission in relation to English services. Clinics that participate in ECTAS will be listed on the College website, with the accreditation rating awarded.

scholarly journals Audit of compliance with WHO surgical safety checklist (modified for electroconvulsive therapy including NPSA advice)

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S64-S64
Author(s):  
Faisal Alam ◽  
Rizwan Ashraf ◽  
Kyaw Sein ◽  
Terri Feeney
Keyword(s):  
Patient Safety ◽  
Electroconvulsive Therapy ◽  
Time Pressure ◽  
Clinical Situation ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
National Patient ◽  
Service Standards ◽  
Therapy Treatment

AimsThis audit aims to evaluate the compliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment in ECT clinic at Greater Manchester Mental Health Bolton Directorate. The audit is based on WHO surgical safety checklist modified for ECT including National Patient Safety Agency advice. The goal is to improve the compliance and in turn improve clinical outcomes.BackgroundThe WHO surgical safety checklist (modified for Electroconvulsive therapy including NPSA advice) is devised to promote patient safety, improve teamwork, reduce errors/adverse events and improve overall quality of care. An audit was completed regarding the compliance with the safety checklist at the Bolton ECT clinic and to assess how this could be improved.MethodFollowing approval from the clinical audit department, GMMH NHS Foundation Trust, 20 checklists from randomly selected patient ECT files were included in this audit. We looked at whether the checklists were completed, signed and dated. Our current WHO surgical safety checklist is as per the Electroconvulsive therapy accreditation service standards.ResultA total of 20 WHO surgical safety checklists were reviewed. 95% of the checklists (19/20) were completed by the duty Psychiatrist. 1 form was not completed. 25% (5/20) were not signed rendering them invalid. A total of 75% checklists were complete and valid. Checklists were present in all the case notes.ConclusionCompliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment can be challenging due to various reasons ranging from time pressure to difficult clinical situation. This audit has highlighted that the overall compliance with the set standards (100% completion) was not achieved. A repeat audit will be important to further improve the compliance and overall clinical outcome.

scholarly journals Patients' views on the quality of care when receiving electroconvulsive therapy

2007 ◽  
Vol 31 (11) ◽  
pp. 414-417 ◽  
Author(s):  
Kerry Kershaw ◽  
Lauren Rayner ◽  
Robert Chaplin
Keyword(s):  
Quality Of Care ◽  
Patient Care ◽  
Electroconvulsive Therapy ◽  
Clinical Implications ◽  
Patient Views ◽  
Quality Of Patient Care

AIMS AND METHODTo examine patients' views on the quality of care they received before, during and after electroconvulsive therapy (ECT), a questionnaire was completed by 389 patients who had received ECT at ECT Accreditation Service (ECTAS) member clinics.RESULTSThe nine key standards set by ECTAS relating to quality of patient care were rated as having been met by 65% or more respondents. Most patients found staff friendly and reassuring and often commented on how this had helped reduce their anxiety prior to ECT. Patients were less positive about standards relating to being introduced to staff prior to ECT, and the quality of the waiting and post-recovery areas.CLINICAL IMPLICATIONSPatient views are important indicators of quality of care and should be used to improve ECT practice. Anxiety about ECT is helped by supportive and caring staff. Improvements could be made to practices related to waiting for and recovering from ECT.

Electroconvulsive therapy and its relationships with clinical characteristics and quality of life in Chinese psychiatric patients

2016 ◽  
Vol 246 ◽  
pp. 246-249 ◽  
Author(s):  
Feng-Rong An ◽  
Ling Zhang ◽  
Qing-E. Zhang ◽  
Gabor S. Ungvari ◽  
Chee H. Ng ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electroconvulsive Therapy ◽  
Clinical Characteristics ◽  
Psychiatric Patients

scholarly journals Electroconvulsive therapy (ECT) versus sham ECT for depression: do study limitations invalidate the evidence (and mean we should stop using ECT)?

2021 ◽  
Vol 27 (5) ◽  
pp. 285-291
Author(s):  
Ian M. Anderson
Keyword(s):  
Electroconvulsive Therapy ◽  
Randomised Controlled Trials ◽  
Memory Loss ◽  
Placebo Treatment ◽  
Controlled Trials ◽  
Therapeutic Benefits ◽  
Permanent Memory ◽  
Randomised Controlled ◽  
Meta Analyses

SUMMARYElectroconvulsive therapy (ECT) for depression is a controversial treatment with highly polarised views about the balance between therapeutic benefits and adverse effects. Studies investigating whether ECT is more effective than a placebo treatment started in the 1950s, with the most important randomised controlled trials carried out about four decades ago in which ECT was compared with sham ECT (SECT) involving anaesthesia but no electrically induced seizure. Subsequently the data have been pooled in a number of meta-analyses which have found that ECT is an effective treatment. However, a recent review of the quality of the SECT-controlled studies, and the meta-analyses based on them, concludes that their quality is too poor to allow assessment of the efficacy of ECT and that, given its risks (permanent memory loss and death), the use of ECT should be suspended. This commentary critically discusses the methodology of this review and its conclusions.

scholarly journals Characterization of the Quality of Electroconvulsive Therapy Among Older Medicare Beneficiaries

2020 ◽  
Vol 81 (4) ◽  
Author(s):  
Taeho Greg Rhee ◽  
Mark Olfson ◽  
Kyaw Sint ◽  
Samuel T. Wilkinson
Keyword(s):  
Electroconvulsive Therapy ◽  
Medicare Beneficiaries

scholarly journals The Quality of Informed Consent Obtaining Before Electroconvulsive Therapy: A Report From a Referral, Academic Hospital

2021 ◽  
Vol 7 (1) ◽  
pp. 37-41
Author(s):  
Hossein Khoshrang ◽  
◽  
Morteza Rahbar Taramsari ◽  
Cyrus Emir Alavi3 ◽  
Robabeh Soleimani ◽  
...  
Keyword(s):  
Informed Consent ◽  
Electroconvulsive Therapy ◽  
Patient Relationship ◽  
Academic Hospital ◽  
Physician Patient Relationship ◽  
The North ◽  
North Of Iran ◽  
The Mean ◽  
Physician Patient

Background: In patients undergoing Electroconvulsive Therapy (ECT), obtaining written Informed Consent (IC) must be the standard measure before the procedure. The patient must be informed about the risks and benefits of the treatment and alternatives. Objectives: We aimed to investigate the quality of IC obtaining before the ECT course in an academic hospital in the North of Iran. Materials & Methods: This study was conducted at an academic center in the north of Iran during 2018-2019. Firstly the patients’ mental capacity was assessed, and if it was not adequate for giving informed consent, a patient’s relative was interviewed. The collected data were analyzed by SPSS V. 22. The Kolmogorov-Smirnov test was used to evaluate the normality assumption. To compare the mean scores in subgroups, we applied t-test. Results: A total of 259 people enrolled in the survey and were interviewed. Schizophrenia was the main cause of receiving ECT. The Mean±SD score of receiving information was 8.22±3.68 (0-16), understandability of IC 3.03±1.76 (0-6), patients’ voluntary acceptance of the treatment 1.38±0.68 (0-4) and physician-patient relationship 6.11±2.16 (0-12). The total Mean±SD score was 18.05±3.16 (0-38). Conclusion: IC process was not optimal in our center; however, great trust in the physicians was noticeable. The physician-patient relationship had the highest score while the intentional obtaining of informed consent achieved the lowest.

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