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008181129s2018 |||||||||||||||||c||eng d
020 ▼a 9780438063419
035 ▼a (MiAaPQ)AAI10788384
035 ▼a (MiAaPQ)unc:17659
040 ▼a MiAaPQ ▼c MiAaPQ ▼d 248032
0820 ▼a 610.73
1001 ▼a Carpenter, Lindsey M.
24510 ▼a Toolkit to Improve Provider Adherence to Metabolic Monitoring of Atypical Antipsychotics for Youths.
260 ▼a [S.l.] : ▼b The University of North Carolina at Chapel Hill., ▼c 2018
260 1 ▼a Ann Arbor : ▼b ProQuest Dissertations & Theses, ▼c 2018
300 ▼a 84 p.
500 ▼a Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
500 ▼a Adviser: Grace Hubbard.
5021 ▼a Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2018.
520 ▼a Problem: The use of atypical antipsychotic medications (AAPs) to treat bipolar and other mood disorders has increased in pediatric populations. The potential metabolic side effects of these medications increase the risk of negative health outcom
520 ▼a Purpose: The purpose of this project was to implement a toolkit to increase adherence to guidelines for metabolic measures in patients aged 5--18 with a bipolar disorder taking an atypical antipsychotic.
520 ▼a Methods: A toolkit containing necessary order, assessment, and documentation forms was deployed in an outpatient mental health office in North Carolina. Plan-Do-Study-Act cycles were conducted to guide implementation. Providers included a Doctor
520 ▼a Results: Outcome measures showed improved adherence rates to monitoring vital signs, ordering appropriate labs, and performing a metabolic assessment. These improvements varied among providers.
520 ▼a Implications: While improvements occurred, there were still barriers to implementation such as lack of time. Ongoing assessment of barriers is necessary to sustain the changes and to ensure consistent application of the guideline recommendations
590 ▼a School code: 0153.
650 4 ▼a Nursing.
650 4 ▼a Health care management.
650 4 ▼a Mental health.
690 ▼a 0569
690 ▼a 0769
690 ▼a 0347
71020 ▼a The University of North Carolina at Chapel Hill. ▼b Nursing.
7730 ▼t Dissertation Abstracts International ▼g 79-10B(E).
773 ▼t Dissertation Abstract International
790 ▼a 0153
791 ▼a D.N.P.
792 ▼a 2018
793 ▼a English
85640 ▼u http://www.riss.kr/pdu/ddodLink.do?id=T14997451 ▼n KERIS
980 ▼a 201812 ▼f 2019
990 ▼a 관리자