A re-audit of ECT training and practice

Abstract

Aims and methodsA re-audit of the current practice of electroconvulsive therapy (ECT) was carried out over a period of five months using the new guidelines produced by the Royal College of Psychiatrists. The areas audited included obtaining consent from the patients, information recording, training and supervision of the junior doctors and the practical aspects of ECT administration, including dose titration.ResultsAn improvement in the training and supervision of junior doctors was seen since the last audit but shortcomings were identified in areas of pre- and post-ECT preparation, information recording and correct use of stimulus-dosing policy.Clinical implicationsRecommendations include the need to improve clinical practice and recording of information.

Running an ECT department

“…Published audits from colleagues have shown that the introduction of more complex ECT techniques is not easy (Yousaf et al, 1999) and have identified the need for continuing supervision of trainees (Shaikh et al, 1999).…”