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Reducing hypnotic use on two older adult functional wards: an effective audit?

Edward Street Hospital, Edward Street, West Bromwich, West Midlands B70 8NL, e-mail: Lucy.Caswell{at}smhsct.nhs.uk

Imthiaz Hoosen

Lyndon Clinic, Hobbs Meadow, Solihull, West Midlands B92 8PW

Christopher A. Vassilas

Queen Elizabeth Psychiatric Hospital, Edgbaston, Birmingham B15 2QZ

Sayeed Haque

Queen Elizabeth Psychiatric Hospital, Edgbaston, Birmingham B15 2QZ

Declaration of interest

None.

AIMS AND METHOD

We undertook an audit of hypnotic use on two functional older adult wards, followed by an educational intervention to all nursing staff and junior doctors. We then repeated the audit.

RESULTS

Our pre-intervention audit showed a hypnotic use of 48%. This decreased to 26% for the first month following the educational intervention. Usage increased gradually in proportion to time from intervention. However, over the 4-month post-intervention period hypnotic use remained significantly lower than pre-intervention throughout the time period studied.

CLINICAL IMPLICATIONS

As the study is an audit there is no control group, but our results suggest regular staff education is needed to sustain a reduction in hypnotic use.

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