Assessing and monitoring antipsychotic-induced movement disorders in hospitalized XXXX : a cautionary study.

@entity1 @entity304 @entity910 @entity2146 @entity3519 @entity21
OBJECTIVE: To assess the amount of documentation and level of assessment provided by attending physicians and nursing staff in regard to @entity21 ( @entity21 ) experienced by hospitalized @entity1 with varied DSM-IV diagnoses regularly treated with antipsychotic medication. METHOD: We examined the medical records of 204 hospitalized @entity1 . All medical records were examined retrospectively from consecutive admissions beginning in January 1996. We identified demographics, length of hospitalization, diagnosis, and antipsychotic and adjunct medication. @entity21 were classified into @entity3519 , @entity304 , @entity2146 , and @entity910 ( @entity910 ). For each type of @entity21 , 2 independent raters rated the quality of assessment based on dimensions of severity, location, and laterality. RESULTS: The extent of interrater agreement was found to be 91.1%. @entity304 and @entity2146 were more frequently assessed, compared with @entity910 and @entity3519 . However, the medical records examined showed generally poor assessment and documentation of @entity21 . The percentage of medical records with "no description" for each @entity21 classification was as follows: @entity3519 (89%), @entity304 (71%), @entity2146 (67%), and @entity910 (94%). CONCLUSIONS: The major finding of this study was a high rate of failure to document the assessment and course of @entity21 . This finding suggests that clinicians do not recognize the importance of documenting these significant adverse events. This shortcoming can be corrected with increased awareness of @entity21 and increased training in their physical examination.
