Implementing a Protocol to Monitor Patients for Antipsychotic Metabolic Syndrome

Author

Oluchi Eke, Fort Hays State University

Department

Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Abstract

Metabolic syndrome (MetS), a cluster of interrelated metabolic abnormalities, poses a significant health risk, particularly among individuals receiving atypical antipsychotics (AAPs). MetS side effects associated with AAPs include large waist circumference, high cholesterol, elevated blood glucose, and high blood pressure. Despite the recognized MetS risks and well-established screening guidelines, routine monitoring for MetS among psychiatric providers remains inconsistent. The purpose of this quality improvement project was to implement a protocol for monitoring MetS in patients prescribed AAPs in an outpatient behavioral health clinic, based on the American Diabetes Association (ADA) and American Psychiatric Association (APA) guidelines. As a result, referrals and early interventions could be initiated to reduce risks and improve outcomes for these patients. Six psychiatric providers received educational sessions to review ADA/APA guidelines for metabolic screening in patients treated with AAPs. The providers were provided with a copy of the MetS screening protocol. A retrospective chart review was performed monthly for three months post-implementation to assess how many providers used the protocol. Run chart was used to monitor screenings per provider. Cumulative summary statistics were used for pre- and post-implementation comparisons. Results demonstrated an upward trend in MetS screenings and referrals to primary care over three months post-implementation, suggesting that the new protocol was effective in improving MetS screening and management. Through the implementation of this protocol, psychiatric providers addressed metabolic risks early, optimizing patient outcomes by mitigating the adverse metabolic effects associated with AAPs.

Keywords

metabolic syndrome, psychiatric, providers, antipsychotics, screening tests, atypical antipsychotic, adults

Advisor

Mary Jo Gubitoso

Date of Award

Spring 2025

Document Type

DNP Project

Recommended Citation

Eke, Oluchi, "Implementing a Protocol to Monitor Patients for Antipsychotic Metabolic Syndrome" (2025). Master's Theses or Doctor of Nursing Practice. 3284.
Available at: https://scholars.fhsu.edu/theses/3284

Rights

© The Author