This page was translated automatically from Turkish. Read the original

This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0322

Closing the loop on medication safety: a three-cycle clinical audit of prescribing, administration, and storage practices in a high-support mental health rehabilitation residence

CLOSING THE LOOP ON MEDICATION SAFETY: A THREE-CYCLE CLINICAL AUDIT OF PRESCRIBING, ADMINISTRATION, AND STORAGE PRACTICES IN A HIGH-SUPPORT MENTAL HEALTH REHABILITATION RESIDENCE.

Compliance with medication management standards increased from 68.4% to 100% through a three-cycle clinical audit and corrective actions.

The audit aimed to assess prescribing, administration, storage, and controlled drug practices in a high-support mental health rehabilitation residence against Mental Health Commission (MHC) and Ireland’s Health Service Executive (HSE) standards, identify areas of non-compliance, implement corrective actions, and close the loop through reassessment. A three-cycle clinical audit covering 21 criteria was conducted using Medical E-Governance (MEG) Forms, a cloud-based audit tool aligned with MHC and HSE Ireland standards, and all residents’ Kardex records were reviewed. Corrective actions were implemented after Cycle 1 (16 April 2026), followed by an interim assessment in Cycle 2 (28 May 2026) and a final re-audit in Cycle 3; ethical approval was obtained, and the unit was anonymised. Overall compliance in Cycle 1 was 68.4%, with non-compliance identified in six areas: incomplete demographic and allergy documentation, missing prescription start dates, legibility issues due to inconsistent use of block capitals, unspecified dosing intervals for PRN (as-needed) medications, improperly discontinued medications, and gaps in controlled drug storage and documentation. Issues relating to controlled drugs had been resolved by Cycle 2, and overall compliance increased to 85.7% in Cycle 2 following corrective actions. In Cycle 3, 100% compliance was achieved across all 21 criteria. The findings indicate that repeated audit and corrective action substantially improved compliance with medication management standards in a high-support mental health rehabilitation setting, and that ongoing monitoring and quality improvement initiatives are necessary to sustain medication safety.

All WCP 2026 summaries