Do Not Miss Your Shot: Improving Follow-up in Patients Receiving Long-Acting Injectable Medications
Date of Award
Doctor of Nursing Practice Final Manuscript
Doctor of Nursing Practice
Semira Semino-Asaro, PhD, APRN
Background: Serious mental illness including schizophrenia and bipolar disorder affects 1 in 24 adults in California. These chronic disorders are difficult to treat and often sabotaged by medication nonadherence. Long-acting injectable (LAI) medications are one strategy to combat medication nonadherence. Effectively providing treatment with LAI medications can be challenging at the clinic level.
Objectives: Reduce the number of days without medication by reducing the number of days between injection due date and injection administration for patients receiving LAI medications.
Design: Establish appointments for all injection visits. Standardize visit protocol for injection encounters to optimize provider time. Arrange immediate follow-up and prompt rescheduling of missed injections.
Results: Number of patients receiving an injection more than one week late decreased by 20%. Average number of days late decreased from 10 to 6.
Conclusions: Appointments and reminders reduced number days without medication in patients receiving LAI medications. Standardization of injection visits improved clinic productivity.
Digital USD Citation
O'Hara, Mary, "Do Not Miss Your Shot: Improving Follow-up in Patients Receiving Long-Acting Injectable Medications" (2019). Doctor of Nursing Practice Final Manuscripts. 99.
Community Health Commons, Community Health and Preventive Medicine Commons, Mental Disorders Commons, Psychiatric and Mental Health Commons, Psychiatric and Mental Health Nursing Commons