title: Reduction of concurrent antipsychotic prescribing practices through the use of PSYCKES.
abstract: The New York State Office of Mental Health has implemented the browser based Psychiatric Clinical Knowledge Enhancement System (PSYCKES) medication application throughout its inpatient system of care. PSYCKES provides detailed current medication regimens and histories, as well as medication best practices reports at the patient, psychiatrist, ward, and facility levels. South Beach Psychiatric Center (SBPC) has made specific use of a best practices report which details proportions of caseloads and number of patients on two or more concurrent antipsychotic medications. Psychiatrists received extensive application and desktop support and individual and group training was conducted. PSYCKES current and historical medication regimens were reviewed for individual cases and best practices reports were used in psychiatry supervision from January 2004 to March 2005. SBPC psychiatrists achieved marked reductions in the proportions of their caseloads on two or more concurrent antipsychotics. Although we cannot impute causality from this pre-post implementation design, the results of this evaluation suggest that the use of PSYCKES was effective in reducing such regimens for inpatients.
authors.affiliation: South Beach Psychiatric Center, 777 Seaview Avenue, Staten Island, NY 10305, USA. sbppteu@omh.state.ny.us
authors.forename: Thomas
authors.initials: T
authors.lastname: Uttaro
authors.forename: Molly
authors.initials: M
authors.lastname: Finnerty
authors.forename: Thomas
authors.initials: T
authors.lastname: White
authors.forename: Rosanne
authors.initials: R
authors.lastname: Gaylor
authors.forename: Lawrence
authors.initials: L
authors.lastname: Shindelman
mesh_terms: D014150:Antipsychotic Agents / Q000627:therapeutic use*; D020000:Decision Support Systems, Clinical; D004363:Drug Utilization; D006801:Humans; D009518:New York; D010818:Practice Patterns, Physicians'; D011618:Psychotic Disorders / Q000188:drug therapy*
chemical_list: D014150:Antipsychotic Agents