An audit of anti-muscarinic drug use at the State Hospital
2000
AIMS AND METHOD This paper is based on two audits carried out in 1996 and 1998 at The State
Hospital, Carstairs. Each audit looked at anti-muscarinic drug use within the
hospital, in relation to approved prescribing standards issued in 1996. All
patients within the hospital on anti-muscarinic drugs were identified at the
time of each audit. These prescriptions were compared with the approved
prescribing standards. In the 1998 audit additional information was obtained
from the case notes and the consultants, when the approved standards were not
met. RESULTS The percentage of patients on regular anti-muscarinic drugs, falling
outwith the prescribing standards, reduced between the two audits. However, in
1998 a small number of patients were still outwith the approved prescribing
standards set in 1996. CONCLUSIONS An improvement in the prescribing practice of anti-muscarinics occurred
following the introduction of prescribing guidelines. However, the guidelines
were not fully met in the 1998 audit. This demonstrates the need for further
audit and continued monitoring of anti-muscarinic prescription at the State
Hospital.
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