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Quality Improvement Report Open Access
Aims and method Communication of responsibility for lithium monitoring and the ? ow of information between primary and secondary care was assessed by postal questionnaire. Guidelines were then introduced and a re-audit carried out two years later.Results Initial audit showed that the doctor responsible for lithium monitoring was only identi Ã Â½ able in 59% of cases. The majority of general practitioners had received information about monitoring from the consultant prior to taking on the task. Following the introduction of guidelines re-audit showed a marked increase in identi-Ã Â½ cation of the responsible professional to 87.5% of cases. There was also a shift towards monitoring in primary care.Clinical implications Communication between primary and secondary care is vital and can be improved by guidelines.
Innovative primary care, Primary care medicines, Advanced concepts in primary care