Assessing the Quality of the Administration of Psychoactive Medication

James Robert Brašić, Jasmin Wendler Furman, Rafael M. Conte, William E. Baisley, Robert I. Jaslow

Research output: Contribution to journalArticle

Abstract

To assess the methodology of surveys of psychoactive medication treatment, we administered the Psychoactive Medication Quality Assurance Rating Survey (PQRS), a reliable instrument for assessing the quality of the utilization of psychoactive medication via chart review by trained raters, to a simple random sample of 78 residents of an intermediate care facility for persons with mental retardation. By evaluating the clinical information, decision processes, and provisions for monitoring treatment outcome with the use of psychoactive medication, this survey utilizing the PQRS revealed multiple serious deficiencies indicating the need for immediate intervention at the institution consistent with other surveys utilizing different methods. However, a simple screening of residents for excessive dosages and inappropriate combinations of psychoactive agents detected no serious errors. Thus, we demonstrated that the PQRS fulfills its purpose to identify deficits in the utilization of psychoactive medication that are overlooked by mere determination of high doses and atypical combinations. We conclude that the PQRS is a reliable and valid instrument for surveys of the administration of psychoactive medications.

Original languageEnglish (US)
Pages (from-to)185-205
Number of pages21
JournalJournal of Developmental and Physical Disabilities
Volume15
Issue number3
DOIs
StatePublished - Sep 1 2003

Keywords

  • Chart review
  • Clinical practice guidelines
  • Continuous quality improvement
  • Mental illness
  • Psychoactive medications
  • Surveys

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Developmental and Educational Psychology

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