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Changes in practice of ECT: a follow-on study

Ridge Hill Hospital, Brierley Hill Road, Wordsley, Stourbridge, West Midlands

Aims and method A retrospective case note study examining the effects of increased supervision on practice of electroconvulsive therapy (ECT).

Results Increasing the level of supervision of ECT sessions was associated with patients receiving on average almost two fewer treatment applications per course of ECT.

Clinical implications The risk of treatment is reduced because patients receive fewer anaesthetics, and they may be discharged home sooner. Such improvements in ECT practice should be relatively easily achievable in many ECT clinics.

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