News and Education for health professionals

Clinical Audit: TAILOR - Target Antidepressant Initiation choice to unLock positive patient Outcomes and Response

You need to login to participate in this clinical audit.

Please log in, or if you don't already have a free account, register to continue.

This education is accredited: RACGP 40 CPD, ACRRM 30 CME PD.

For a diagnosis of depression, current guidelines (RACGP Red Book 20121 and DSM-52) identify depressed mood (negative affect), and/or diminished interest and pleasure (positive affect) as the key symptoms.

Audit Aim

This clinical audit aims to tailor the choice of anti-depressant medication for the initial management of a patient with depression based on maintaining therapy long term to achieve more positive patient outcomes and response with a clear focus on involving the patient in all management decisions.

Inclusion Criteria

The inclusion criteria for the TAILOR clinical audit are for patients to present with:

  1. A new episode of depression (i.e. first episode or recurrence)
    AND
  2. Based on a clinical assessment you are about to initiate an anti-depressant treatment (i.e. not currently on anti-depressant medication)

Steps to Proceed

What the GP needs to do

  • Log in or register on this page
  • Use the 'Click here to proceed' button to get started.

 

1. Pre-Test

  • Read the background information and answer some questions.
  • Please complete this 15 minute activity before your first audit patient.
    Why not do it now?

2a. Identify 10 patients with depression presenting with a new episode (i.e. first episode or recurrence)

  • Based on a clinical assessment you are about to initiate an anti-depressant treatment (i.e. not currently on anti-depressant medication)

2b. Ask a series of questions that may assist your choice of anti-depressant medication tailored to the patient's needs

  • Enter this information in the patient data entry section of the audit.

2c. Action

  • Based on this information, discuss your choice of anti-depressant medication with the patient tailored to be the best fit for their case

3. Data review and evaluation

  • Once you have entered data for 10 patients, review your results and evaluate the audit process

4. CPD points

  • To gain CPD points you will be asked 4 weeks later to complete a follow up online questionnaire to evaluate how this audit has affected your practice

References

1. Guidelines for preventive activities in general practice, 8th edition. East Melbourne (Australia): Royal Australian College of General Practitioners; 2012.
2. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. Arlington, VA. American Psychiatric Association; 2013.

This program has been developed with an educational grant from Servier Laboratories.

Content partners: 
Category: 
Components
Clinical Audit: TAILOR - Pre-test
Clinical Audit: TAILOR - Patient Entry
Clinical Audit: TAILOR - Results and Evaluation
Clinical Audit: TAILOR - 4 Week Follow Up Activity