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Nursing Advocacy and Long Acting Injectables to Reduce High Readmission Rates: Quality Initiative.

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Improving nursing advocacy for long-acting injectable (LAI) medications in schizophrenia care reduced psychiatric readmissions by 53%. This initiative increased LAI prescriptions, enhancing medication adherence and patient outcomes.

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Area of Science:

  • Psychiatry
  • Pharmacology
  • Nursing Education

Background:

  • Medication nonadherence in schizophrenia is a significant factor contributing to frequent psychiatric readmissions.
  • Long-acting injectable (LAI) antipsychotics are effective in improving adherence and reducing hospital readmissions.

Purpose of the Study:

  • To identify patients with frequent psychiatric readmissions.
  • To enhance nursing staff advocacy for appropriate long-acting injectable (LAI) medication use through targeted in-service education.

Main Methods:

  • Utilized chart audits over a 90-day pre- and post-in-service period to collect data.
  • Screened all psychiatric admissions for specific criteria including schizophrenia spectrum diagnosis and recent readmissions.
  • Implemented voluntary nursing education via academic detailing and dashboards.

Main Results:

  • Forty-four patients with schizophrenia spectrum diagnoses accounted for 49 frequent readmissions.
  • The admission rate for the identified patient group decreased by 53% post-intervention.
  • Prescriptions for long-acting injectables (LAIs) increased by 9%, with four patients initiated on LAIs.

Conclusions:

  • Nursing advocacy and collaborative efforts may positively influence attitudes towards long-acting injectable (LAI) antipsychotics.
  • The study suggests a potential improvement in the utilization of LAIs for managing schizophrenia readmissions.