An audit of clozapine recording in primary care patient records

摘要

In England, there are several medicines that are generally prescribed by mental health trusts on an ongoing basis, most notably clozapine and long-acting antipsychotic injections [1] . Consequently, there is a risk that these medications may not be documented on GPs’ clinical systems, which if missed can result in: Drug interactions between clozapine and other medicines (e.g. co-trimoxazole, carbamazepine, chloramphenicol) not being alerted through GP clinical decision-making software. In addition, patients presenting with physical health concerns, such as constipation, may not be considered as experiencing side effects from clozapine; Healthcare professionals in secondary care, particularly those in acute services (who often rely on Summary Care Records [SCR] to complete medicines reconciliation), accessing incomplete medication records that could lead to omission of clozapine and unnecessary deterioration of a patient’s mental health [1] .