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Audit of the ECT Service in Department of Psychiatry and Behavioural Scinences DHQ Hospital Faisalabad Against the National Institute of Clinical Excellence (NICE) Guidelines

Published online by Cambridge University Press:  20 June 2025

Duaa Fatima ,
Imtiaz Ahmad Dogar ,
Palvisha Sajid  and
Sammar Fatima
Duaa Fatima
Affiliation:
Faisalabad Medical University, Faisalabad, Pakistan
Imtiaz Ahmad Dogar
Affiliation:
Faisalabad Medical University, Faisalabad, Pakistan
Palvisha Sajid
Affiliation:
Faisalabad Medical University, Faisalabad, Pakistan
Sammar Fatima
Affiliation:
Faisalabad Medical University, Faisalabad, Pakistan
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Abstract

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Aims: The aim of the audit was to ensure that the referral practices and assessment methods of patients who received ECT were carried out and documented as per the NICE guidelines.

Methods: Study was carried out at Allied Hospital 2, Faisalabad Medical University, Faisalabad. Data was collected from May 2023 to October 2023. Study includes all the inpatients referred for ECT during a 6-month period from May 2023 to October 2023. The data was collected by examination of the patient’s notes to establish the adherence to all 9 standards required by NICE guidance.

Results: Total number of patients was 47 (24 females and 23 males) the results show that ECT guidelines were followed and 100% compliance was achieved in all standards except one. Assessment of cognitive functions, 44 patients (86.3%) were assessed for their cognitive functions before the course of treatment but only 29 patients (56.9%) were assessed after the course.

Conclusion: The adherence to referral and consent standards was excellent; however, greater attention is needed in the implementation and documentation of cognitive assessments before, during, and after treatment. This is particularly important due to the high incidence of cognitive dysfunction observed following ECT administration.

Type
Audit
Information
BJPsych Open , Volume 11 , Supplement S1: Abstracts from the RCPsych International Congress 2025, 23–26 June , June 2025 , pp. S231
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Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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