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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.

EV1082

Improving electroconvulsive therapy (ECT) anaesthesia records through an ECTAS-aligned quality improvement project

IMPROVING ELECTROCONVULSIVE THERAPY (ECT) ANAESTHESIA DOCUMENTATION THROUGH AN ECTAS-ALIGNED QUALITY IMPROVEMENT PROJECT

A structured anaesthesia documentation form aligned with ECTAS standards increased overall compliance in ECT records from approximately 55% to 97%.

The project aimed to assess compliance with 29 selected standards from the 16th edition of the Royal College of Psychiatrists’ Electroconvulsive Therapy Accreditation Service (ECTAS) standards and to determine whether an ECTAS-aligned documentation form improved compliance. The quality improvement project (QIP) was conducted over 12 weeks (between November 2025 and January 2026) at a tertiary care hospital in Pakistan. In the first cycle, records for 30 consecutive patients using the existing anaesthesia form were reviewed against 29 standards; an updated documentation tool was then developed, and records for 30 consecutive patients using the new form were re-audited in the second cycle. Overall compliance in the first cycle was approximately 55%, with 100% compliance for 15 of the 29 standards and 0% compliance for 12. The most notable gaps concerned emergency planning, seizure monitoring, changes to anaesthesia, and post-procedure records. Following implementation of the second form, full compliance with all 29 requirements was achieved in 29 of 30 patient encounters, and overall compliance rose to approximately 97%. Compliance by standards domain increased from 0% to 97% for pre-procedure assessment and patient admission, from 0% to 97% for emergency preparedness, from 50% to 98% for anaesthesia administration, from 62% to 98% for recovery and post-procedure care, and from 95% to 99% for administrative procedures and consent; compliance with the documentation standard increased from partially met to 97%. Documentation of hearing aid and glasses checks increased from 70% to 97%, while documentation of adverse effects rose from 10% to 97%. In conclusion, structured prompts aligning clinical records with ECTAS guidance were reported to substantially increase compliance and improve patient safety governance in ECT services.

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