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Abstract：
Objective To increase compliance with Abnormal Involuntary Movement Score (AIMS) documentation for patients taking antipsychotics to recognize and treat tardive dyskinesia in the psychiatry outpatient clinic. Methods The Lean Six Sigma quality improvement (QI) model, utilizing DMAIC steps of define, measure, analyze, improve, control, was followed. Psychiatry attendings and residents were surveyed to assess reasons for AIMS non-documentation, and they ranked their preferred solutions to increase compliance. A random sample of patient charts for individuals on antipsychotic medications was obtained to determine AIMS documentation compliance prior to and following the implementation of improvements. Results The most highly ranked solution was implementing a one-hour AIMS training session. Three months post-intervention, a random sample of 60 patient charts showed that 87% (52/60) of patients had AIMS documented which was a significant increase compared to 3% (1/30) pre-intervention (p<0.001). Conclusion An annual, one-hour AIMS training session for residents improved rates of AIMS documentation.
摘要：
目的提高精神科门诊服用抗精神病药物识别和治疗迟发性运动障碍的患者对异常非自愿运动评分（AIMS）文档的依从性。方法采用精益六西格玛质量改进(QI)模型,利用DMAIC定义步骤，measure,分析,改进,control,被跟踪。对精神病患者和居民进行了调查，以评估AIMS非文件记录的原因，他们对他们的首选解决方案进行排名，以提高合规性。获得了服用抗精神病药物的患者的随机样本，以确定在实施改进之前和之后的AIMS文档合规性。结果排名最高的解决方案是实施一小时的AIMS培训课程。干预后三个月，60例患者的随机样本显示,87%(52/60)的患者有AIMS记录,与干预前的3%(1/30)相比有显著增加(p<0.001).结论每年，为居民提供一小时的AIMS培训课程，提高了AIMS文档的比率。
