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Related Experiment Videos

Auditing electroconvulsive therapy. The third cycle

R Duffett1, P Lelliott

  • 1Royal College of Psychiatrists' Research Unit, London.

The British Journal of Psychiatry : the Journal of Mental Science
|September 25, 1998
PubMed
Summary
This summary is machine-generated.

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Electroconvulsive therapy (ECT) practice in England and Wales shows modest improvement despite audits. Many clinics still do not meet Royal College of Psychiatrists standards for ECT.

Area of Science:

  • Psychiatry
  • Clinical Audit

Background:

  • Third large-scale audit of electroconvulsive therapy (ECT) practice in England and Wales.
  • Compares current ECT practices against the Royal College of Psychiatrists' 2nd ECT handbook standards.

Purpose of the Study:

  • To systematically evaluate ECT facilities, equipment, practice, personnel, and training.
  • To assess adherence to established ECT standards across clinics in England and Wales.

Main Methods:

  • Site visits to clinics in North East Thames, East Anglia, and Wales.
  • Postal questionnaires for all other English ECT clinics.
  • Data collected from 184 (84%) of 220 identified ECT clinics.

Main Results:

  • Only one-third of clinics met College standards; some aspects of ECT administration improved since 1991.

Related Experiment Videos

  • Low consultant attendance (16% weekly) and sessional time for ECT duties (6%).
  • Equipment varied, with 59% using recommended machines and 7% using outdated models; only one-third had clear junior doctor guidance policies.
  • Conclusions:

    • Despite 20 years of Royal College of Psychiatrists' activity and three audits, local ECT practice shows only modest improvement.
    • Significant gaps remain in meeting established standards for ECT administration and staffing.