When less is more: reducing the incidence of antipsychotic polypharmacy.
In 2003, the New York State Office of Mental Health initiated a program aimed at supporting patient recovery by simplifying antipsychotic regimens. A key component of the program, which has been essential in supporting physician autonomy, was the introduction of a software program, Psychiatric Clinical Knowledge Enhancement System, termed "PSYCKES." This software program enables physicians to visualize at a glance the medication history of each of their patients as well as of their colleagues' patients, as a way of making better-informed decisions. The fiscal impact, in the direction of a significant reduction in antipsychotic polypharmacy, was not lost on policy-makers, who have included $1.3 million in the current state budget for the dissemination of this program.
Tucker
William M
WM
Columbia College of Physicians and Surgeons, USA. tuckerb@pi.cpmc.columbia.edu
D014150:Antipsychotic Agents / Q000009:adverse effects / Q000627:therapeutic use*; D003658:Decision Making, Computer-Assisted; D004359:Drug Therapy, Combination; D004363:Drug Utilization / Q000706:statistics & numerical data; D006801:Humans; D051188:Knowledge Bases; D016347:Medical Records Systems, Computerized; D009518:New York; D011618:Psychotic Disorders / Q000188:drug therapy*; D012984:Software; D016896:Treatment Outcome
D014150:Antipsychotic Agents